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STORY COUNTY COMMUNITY LIFE PROGRAM
NPI 1164597340
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ames, IA

Active since November 22, 2006
124 S HAZEL AVE, AMES, IA 50010(515) 956-2600(515) 956-2609 Get Directions Write a Review

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

About Story County Community Life Program NPPES

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

STORY COUNTY COMMUNITY LIFE PROGRAM (NPI 1164597340) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Ames, Iowa and active in the NPI registry since November 2006. The organization lists Gayla R Harken, Director, as its authorized official.

NPPES Registry Identity

NPI1164597340
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSTORY COUNTY COMMUNITY LIFE PROGRAM
Location Address124 S HAZEL AVEAmes, IA 50010-5952
Mailing Address104 S Hazel AveAmes, IA 50010-5952 · (515) 956-2600 · Fax (515) 956-2609
Phone(515) 956-2600
Fax(515) 956-2609
Organization SubpartNo
Authorized OfficialGayla R HarkenDirector · (515) 956-2600
Enumeration DateNovember 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164597340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
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.
124 S HAZEL AVE, Ames, IA 50010
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Other Identifiers 1

Other0895425IA · Ssa Number

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.

OPTIMAE LIFESERVICES, INC.
Counselor (Mental Health)
124 S HAZEL AVE
AMES, IA 50010
Story County (515) 956-2600
MARY GREELEY MEDICAL CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
124 S HAZEL AVE
AMES, IA 50010
Story County (515) 239-6747

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 Story County Community Life Program's NPI number?

The NPI number for Story County Community Life Program is 1164597340. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Story County Community Life Program located?

Story County Community Life Program is located at 124 S Hazel Ave, Ames, IA 50010. The listed phone number is (515) 956-2600.

What is Story County Community Life Program's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Story County Community Life Program 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.