HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION NPI 1215061197

NPI Information

  • NPI: 1215061197
  • Provider Name: HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Other Name: WOODLAKE GROUP HOME
  • Address: 1901 RACINE AVE
    BURLINGTON, IA
    ZIP 52601
  • Phone: (319) 754-4689

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NPI Details

HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION is an intermediate care facility mentally retarded in Burlington, IA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION NPI is 1215061197. The provider is registered as an organization entity type.
The provider Other Name Is Woodlake Group Home.

The provider's business location address is:

1901 RACINE AVE
BURLINGTON, IA
ZIP 52601-246
Phone: (319) 754-4689

The provider's authorized official is Ron Christensen .
The authorized official title is Director Of Programs and has the following contact phone number (319) 237-1308.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 4/15/2019.

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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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This page was last updated on: 11/21/2025

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