NPI Information

  • NPI: 1629293527
  • Provider Name: MARION COUNTY CARE FACILITY
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • CLIA Number: 16D0647899
  • Address: 1111 NEWBOLD ST
    KNOXVILLE, IA
    ZIP 50138
  • Phone: (641) 828-0622

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NPI Details

MARION COUNTY CARE FACILITY is a residential treatment facility, intellectual and/or developmental disabilities in Knoxville, 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. MARION COUNTY CARE FACILITY NPI is 1629293527. The provider is registered as an organization entity type.

The provider's business location address is:

1111 NEWBOLD ST
KNOXVILLE, IA
ZIP 50138-605
Phone: (641) 828-0622
Fax: (641) 828-0622

The provider's authorized official is Randall Kelley .
The authorized official title is Administrator and has the following contact phone number (641) 828-0622.

The CLIA number assigned to this NPI record is 16D0647899 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 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 Disabilities630531IOWAYes

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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