Story County Community Life Program in Ames - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Story County Community Life Program - NPI 1164597340
Story County Community Life Program is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Ames, Iowa. Story County Community Life Program practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Story County Community Life Program is 1164597340. The last update date is 2020-08-22.
Story County Community Life Program's current location address is 104 S Hazel Ave, Ames, Iowa. You can contact this provider via phone number 5159562600 and fax number 5159562609. The mailing address for Story County Community Life Program is 104 S Hazel Ave, Ames, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Story County Community Life Program |
|---|---|
| Address | 104 S Hazel Ave, Ames, Iowa |
| Phone Number | 5159562600 |
| Fax Number | 5159562609 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Harken R Gayla |
| Telephone Number | 5159562600 |
NPI Number Detail
| NPI Number | 1164597340 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 104 S Hazel Ave |
|---|---|
| City | Ames |
| State | Iowa (IA) |
| Post Code | 500105952 |
| Phone Number | 5159562600 |
| Fax Number | 5159562609 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 895425 | IA | SSA NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Story County Community Life Program by the Centers for Medicare & Medicaid Services?
The Story County Community Life Program has been issued the NPI (National Provider Identifier) 1164597340 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Story County Community Life Program is located?
The Story County Community Life Program is situated at the following address: 104 S Hazel Ave, Ames, IA, 500105952.
What is Story County Community Life Program's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Story County Community Life Program is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164597340 to Story County Community Life Program?
The Story County Community Life Program received its 1164597340 assignment from the Centers for Medicare & Medicaid Services on 2006-11-22.
As of what date was the information pertaining to Story County Community Life Program, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Story County Community Life Program, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.