PRIDE GROUP, INC.
NPI 1023166576
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Le Mars, IA

Active since January 08, 2007CLIA 16D2085571 · Waiver
214 PLYMOUTH ST SE, LE MARS, IA 51031(712) 546-6500(712) 546-6589 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pride Group, Inc. NPPES

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

PRIDE GROUP, INC. (NPI 1023166576) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Le Mars, Iowa and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Jillian Marie Britt, Hr Manager, as its authorized official.

NPPES Registry Identity

NPI1023166576
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePLYMOUTH LIFE, INC.
Location Address214 PLYMOUTH ST SELe Mars, IA 51031-3631
Mailing Address214 Plymouth St SeLe Mars, IA 51031-3631 · (712) 546-6500 · Fax (712) 546-6589
Fax(712) 546-6589
Organization SubpartNo
Authorized OfficialJillian Marie BrittHr Manager · (712) 546-6500
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJanuary 28, 2015
NPI 1023166576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
214 PLYMOUTH ST SE, Le Mars, IA 51031

Other Names 1

Doing Business AsPride Group, Inc.

Other Identifiers 11

Medicare UPINH35256
Medicaid0108423IA
Medicaid0232041IA
Medicaid0245100IA
Medicaid0769471IA
Medicare PINI6836IA
Medicaid0741983IA
Medicaid0242990IA
Medicaid0764415IA
Medicaid0251561IA
Medicare PINI10205IA

Accepted Insurance

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 16D2085571

Pride Group At 6th Avenue · Le Mars, IA
Active · expires Oct 15, 2026
CLIA Number16D2085571
Laboratory TypeResidential Care Facility
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorJennifer Rowher
Laboratory Phone(712) 541-6028
Laboratory LocationPride Group At 6th Avenue115 6th Avenue SW, Le Mars, IA 51031
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
214 PLYMOUTH ST SE
LE MARS, IA 51031

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 Plymouth Life, Inc.'s NPI number?

The NPI number for Plymouth Life, Inc. is 1023166576. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Pride Group, Inc..

Where is Plymouth Life, Inc. located?

Plymouth Life, Inc. is located at 214 Plymouth St SE, Le Mars, IA 51031. The listed phone number is (712) 546-6500.

What is Plymouth Life, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Plymouth Life, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2085571) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Plymouth Life, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Plymouth Life, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Plymouth Life, Inc. was last updated on January 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.