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NORTHERN HILLS ASSISTED LIVING
NPI 1013135730
Assisted Living Facility in Sioux City, IA

Active since April 20, 2007CLIA 16D1049664 · Waiver
4002 TETON TRCE, SIOUX CITY, IA 51104(712) 239-9402(712) 239-9406 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northern Hills Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN HILLS ASSISTED LIVING (NPI 1013135730) is a healthcare organization registered as an assisted living facility in Sioux City, Iowa and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Gary L Troth, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013135730
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNHAO,LLC
Location Address4002 TETON TRCESioux City, IA 51104-4387
Mailing Address4002 Teton TrceSioux City, IA 51104-4387 · (712) 239-9402 · Fax (712) 239-9406
Phone(712) 239-9402
Fax(712) 239-9406
Organization SubpartNo
Authorized OfficialGary L TrothExecutive Director · (712) 239-9402
Enumeration DateApril 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013135730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IA · S0058
Definition
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.
4002 TETON TRCE, Sioux City, IA 51104
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Other Names 1

Doing Business AsNorthern Hills Assisted Living

Other Identifiers 1

Medicaid0458844IA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1049664

Northern Hills Assisted Living · Sioux City, IA
Active · expires Jan 11, 2028
CLIA Number16D1049664
Laboratory TypeOther
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorChristy Nikkel
Laboratory Phone(712) 239-9402
Laboratory LocationNorthern Hills Assisted Living4002 Teton Trace, Sioux City, IA 51104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEE DUERKSEN OTR/L
Occupational Therapist
4002 TETON TRCE
SIOUX CITY, IA 51104
Woodbury County (712) 888-1078
PREMERE REHAB LLC
Physical Therapist
4002 TETON TRCE, HERITAGE AT NORTHERN HILLS
SIOUX CITY, IA 51104
Woodbury County (712) 202-5330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nhao,llc's NPI number?

The NPI number for Nhao,llc is 1013135730. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Northern Hills Assisted Living.

Where is Nhao,llc located?

Nhao,llc is located at 4002 Teton Trce, Sioux City, IA 51104. The listed phone number is (712) 239-9402.

What is Nhao,llc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Nhao,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1049664) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nhao,llc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.