Organization Active NPI

Mainstream Living, Inc.

  • Social Worker
  • Ames, IA
National Provider Identifier
1992886881
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MAINSTREAM LIVING, INC.
Practice address
2012 E 13TH St
Box 1608
Ames, IA 50010-5601
Phone
(515) 232-8405
Fax
(515) 232-8448
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jon D Zellweger
Title
V.P. of Operations
Phone
(515) 232-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X IA Primary

Addresses

Primary practice location

2012 E 13TH St
Box 1608
Ames, IA 50010-5601

Mailing address

2012 E 13TH St
Box 1608
Ames, IA 50010-5601
Phone (515) 232-8405

Other identifiers 4

IdentifierTypeStateIssuer
0226878MedicaidIA
0896613MedicaidIA
1226878MedicaidIA
0095323MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Mainstream Living Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2012 E 13th St
#1608
Ames, IA 50010
Phone (515) 232-8405

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1992886881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 E 13TH ST",
            "address_2": "BOX 1608",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105601",
            "telephone_number": "515-232-8405",
            "fax_number": "515-232-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 E 13TH ST",
            "address_2": "BOX 1608",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105601",
            "telephone_number": "515-232-8405",
            "fax_number": "515-232-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "ZELLWEGER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "515-232-8405"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226878",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896613",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1226878",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095323",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.