STORY COUNTY COMMUNITY LIFE PROGRAM NPI 1366516114

NPI Information

  • NPI: 1366516114
  • Provider Name: STORY COUNTY COMMUNITY LIFE PROGRAM
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 620 DULUTH ST
    AMES, IA
    ZIP 50010
  • Phone: (515) 956-2600

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NPI Details

STORY COUNTY COMMUNITY LIFE PROGRAM is a residential treatment facility, intellectual and/or developmental disabilities in Ames, IA. The provider is 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. STORY COUNTY COMMUNITY LIFE PROGRAM NPI is 1366516114. The provider is registered as an organization entity type.

The provider's business location address is:

620 DULUTH ST
AMES, IA
ZIP 50010-558
Phone: (515) 956-2600
Fax: (515) 956-2609

The provider's authorized official is Gayla R Harken .
The authorized official title is Director and has the following contact phone number (515) 956-2600.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities850672IOWAYes

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
10895441OTHERIOWASSA NUMBER

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: 11/21/2025

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