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NORTH STAR COMMUNITY SERVICES INC NPI 1861544397


NPI Information

NPI: 1861544397
Provider Name: NORTH STAR COMMUNITY SERVICES, INC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 16D1062637

Address:
3420 UNIVERSITY AVE
WATERLOO, IA
ZIP 50701
Phone: (319) 236-0901
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NORTH STAR COMMUNITY SERVICES, INC is a day training developmentally disabled services in Waterloo, IA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. NORTH STAR COMMUNITY SERVICES, INC NPI is 1861544397. The provider is registered as an organization entity type.

The provider's business location address is:

3420 UNIVERSITY AVE
WATERLOO, IA
ZIP 50701-045
Phone: (319) 236-0901
Fax: (319) 236-3701

The provider's authorized official is Valerie Lou Schwager .
The authorized official title is Executive Director and has the following contact phone number (319) 236-0901.

The CLIA number assigned to this NPI record is 16D1062637 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 2/15/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareNo
2251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10229260MEDICAIDIOWA
20081570MEDICAIDIOWA
30741843MEDICAIDIOWA

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: 4/28/2024

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