CEDAR VALLEY RANCH NPI 1518975770

NPI Information

NPI: 1518975770
Provider Name: CEDAR VALLEY RANCH
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
CLIA Number: 16D0889690
Address: 2591 61ST STREET LANE
VINTON, IA
ZIP 52349
Phone: (319) 472-2671

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NPI Details

CEDAR VALLEY RANCH is a community based residential treatment facility, intellectual and/or developmental disabilities in Vinton, 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. CEDAR VALLEY RANCH NPI is 1518975770. The provider is registered as an organization entity type.

The provider's business location address is:

2591 61ST STREET LANE
VINTON, IA
ZIP 52349
Phone: (319) 472-2671
Fax: (319) 472-5068

The provider's authorized official is William D Nelson .
The authorized official title is Administrator and has the following contact phone number (319) 472-2671.

The CLIA number assigned to this NPI record is 16D0889690 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 9/11/2025.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		060691	IOWA	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		060691	IOWA	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	0252072	OTHER	IOWA	ARO
2	0895581	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: 11/21/2025

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