Story County Community Life Program in Ames - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Story County Community Life Program - NPI 1366516114
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 1366516114. 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 | 1366516114 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| 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 |
| Licence No | 850672 |
|
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 |
|---|---|---|---|
| 895441 | IA | SSA NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Story County Community Life Program by the Centers for Medicare & Medicaid Services?
The Story County Community Life Program has been assigned the NPI (National Provider Identifier) 1366516114. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Story County Community Life Program located?
The Story County Community Life Program is located at 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 Story County Community Life Program receive its 1366516114 assignment from the Centers for Medicare & Medicaid Services?
The Story County Community Life Program was assigned its 1366516114 on 2006-11-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Story County Community Life Program, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Story County Community Life Program, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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