EXCEPTIONAL PERSONS INC NPI 1861567794

NPI Information

NPI: 1861567794
Provider Name: EXCEPTIONAL PERSONS INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 16D0948534

Address:
760 ANSBOROUGH AVENUE
WATERLOO, IA
ZIP 50701
Phone: (319) 232-6671
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EXCEPTIONAL PERSONS INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Waterloo, IA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EXCEPTIONAL PERSONS INC NPI is 1861567794. The provider is registered as an organization entity type.

The provider's business location address is:

760 ANSBOROUGH AVENUE
WATERLOO, IA
ZIP 50701
Phone: (319) 232-6671

The provider's authorized official is James Perry .
The authorized official title is Chief Financial Officer and has the following contact phone number (319) 435-7697.

The CLIA number assigned to this NPI record is 16D0948534 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 12/20/2023.

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 Code	Taxonomy Clasification	Primary
1	251C00000X	Day Training, Developmentally Disabled Services	No
2	251S00000X	Community/Behavioral Health	No
3	347B00000X	Bus	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0089102	MEDICAID	IOWA

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

NPI Synchronization or Removal

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