HOMESTEAD OF CHARITON MEMORY CARE NPI 1619724374

NPI Information

  • NPI: 1619724374
  • Provider Name: HOMESTEAD OF CHARITON MEMORY CARE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 16D2114349
  • Address: 220 NORTHWESTERN AVE
    CHARITON, IA
    ZIP 50049
  • Phone: (641) 255-2670

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NPI Details

HOMESTEAD OF CHARITON MEMORY CARE is an assisted living facility in Chariton, IA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. HOMESTEAD OF CHARITON MEMORY CARE NPI is 1619724374. The provider is registered as an organization entity type.

The provider's business location address is:

220 NORTHWESTERN AVE
CHARITON, IA
ZIP 50049-307
Phone: (641) 255-2670

The provider's authorized official is Cody Fulks .
The authorized official title is Cfo and has the following contact phone number (785) 272-1535.

The CLIA number assigned to this NPI record is 16D2114349 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2024 and was last updated on 5/1/2024.

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
1310400000XAssisted Living FacilityYes

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: 3/30/2025

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