Provider Type Icon

FAITH HOME ASSISTED LIVING CORPORATION NPI 1225224413


NPI Information

NPI: 1225224413
Provider Name: FAITH HOME ASSISTED LIVING CORPORATION

Other Name: FAITH HOME ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 16D1052216

Address:
912 DAVIDSON DR
OSAGE, IA
ZIP 50461
Phone: (641) 832-2580
Get Directions

FAITH HOME ASSISTED LIVING CORPORATION is an assisted living facility in Osage, IA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FAITH HOME ASSISTED LIVING CORPORATION NPI is 1225224413. The provider is registered as an organization entity type.
The provider Other Name Is Faith Home Assisted Living.

The provider's business location address is:

912 DAVIDSON DR
OSAGE, IA
ZIP 50461-474
Phone: (641) 832-2580
Fax: (641) 832-2582

The provider's authorized official is Ladonna Marie Gunderson .
The authorized official title is Administrator and has the following contact phone number (641) 732-5511.

The CLIA number assigned to this NPI record is 16D1052216 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 9/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityS0231IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.