KNOXVILLE RESIDENTIAL – NPI #1912088659
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
KNOXVILLE RESIDENTIAL is a community based residential treatment facility located in KNOXVILLE, IA. NPPES has assigned the NPI number 1912088659 to KNOXVILLE RESIDENTIAL on October 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KNOXVILLE RESIDENTIAL” is a dba name, the actual legal business name for this organization is KNOXVILLE RESIDENTIAL, LLC. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KNOXVILLE RESIDENTIAL below.
NPI Profile for
KNOXVILLE RESIDENTIAL, LLC
(more than 19 years ago)
KNOXVILLE, IA 50138-2833 Phone: (641) 842-4618 Fax:
PLEASANT HILL, IA 50327-0908 Phone: Fax:
OWNER
Phone: (515) 250-0670
Identifiers for KNOXVILLE RESIDENTIAL
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | IA | 0896886 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
IA | 630299 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.