1528261286 NPI number — PURSUIT OF INDEPENDENCE

Table of content: (NPI 1528261286)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528261286 NPI number — PURSUIT OF INDEPENDENCE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PURSUIT OF INDEPENDENCE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TAYLOR RIDGE ESTATES, INC.
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528261286
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 WEST OHIO
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LENOX
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50851
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
641-333-2221
Provider Business Mailing Address Fax Number:
641-333-2732

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
104 WEST OHIO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LENOX
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-333-2221
Provider Business Practice Location Address Fax Number:
641-333-2732
Provider Enumeration Date:
06/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MARXEN
Authorized Official First Name:
BETTY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
641-333-2221

Provider Taxonomy Codes

  • Taxonomy code: 311Z00000X , with the licence number:  R-320 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0233817 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0895680 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




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