LELAND SMITH ASSISTED LIVING
NPI 1114055910
Assisted Living Facility in Wilton, IA

Q: What is Simpson Memorial Home, Inc's NPI number?

The NPI number for Simpson Memorial Home, Inc is 1114055910. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider is doing business as Leland Smith Assisted Living.

Q: What is Simpson Memorial Home, Inc's specialty?

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

Active since March 01, 2007CLIA 16D1066873 · Waiver

309 OVESEN DR, WILTON, IA 52778(319) 627-4775(319) 627-4738 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Leland Smith Assisted Living NPPES

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

LELAND SMITH ASSISTED LIVING (NPI 1114055910) is a healthcare organization registered as an assisted living facility in Wilton, Iowa and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Shelley Wicks, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114055910

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSIMPSON MEMORIAL HOME, INC

Location Address309 OVESEN DRWilton, IA 52778

Mailing Address309 Ovesen DrWilton, IA 52778 · (319) 627-4775 · Fax (319) 627-4738

Phone(319) 627-4775

Fax(319) 627-4738

Organization SubpartNo

Authorized OfficialShelley WicksAdministrator · (319) 627-4775

Enumeration DateMarch 1, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1114055910 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 · S0187

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.

309 OVESEN DR, Wilton, IA 52778

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Other Names 1

Doing Business AsLeland Smith Assisted Living

Other Identifiers 1

Medicaid0414979IA

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 16D1066873

Leland R Smith Assisted Living · Wilton, IA

Active · expires Apr 4, 2027

CLIA Number16D1066873

Laboratory TypeAssisted Living Facility

Certificate Effective DateApril 5, 2025

Certificate Expiration DateApril 4, 2027

Laboratory DirectorTifany Rickey

Laboratory Phone(563) 732-2086

Laboratory LocationLeland R Smith Assisted Living309 Ovesen Drive, Wilton, IA 52778

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

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 Simpson Memorial Home, Inc's NPI number?

The NPI number for Simpson Memorial Home, Inc is 1114055910. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider is doing business as Leland Smith Assisted Living.

Where is Simpson Memorial Home, Inc located?

Simpson Memorial Home, Inc is located at 309 Ovesen Dr, Wilton, IA 52778. The listed phone number is (319) 627-4775.

What is Simpson Memorial Home, Inc's specialty?

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

Does Simpson Memorial Home, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1066873) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Simpson Memorial Home, Inc 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 6 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.