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SPECRTUM LIVING LLC
NPI 1174117386
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ankeny, IA

Active since February 28, 2021
903 SE RENE ST, ANKENY, IA 50021(515) 771-2340 Get Directions Write a Review

NPPES record last updated: February 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Specrtum Living Llc NPPES

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

SPECRTUM LIVING LLC (NPI 1174117386) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ankeny, Iowa and active in the NPI registry since February 2021. The organization lists Fitzgerald Conrad Cofie, Partner, as its authorized official.

NPPES Registry Identity

NPI1174117386
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSPECRTUM LIVING LLC
Location Address903 SE RENE STAnkeny, IA 50021-3982
Mailing Address903 Se Rene StAnkeny, IA 50021-3982 · (515) 771-2340
Phone(515) 771-2340
Organization SubpartNo
Authorized OfficialFitzgerald Conrad CofiePartner · (515) 771-2340
Enumeration DateFebruary 28, 2021
NPPES CertifiedFebruary 28, 2021
✔ NPI 1174117386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
903 SE RENE ST, Ankeny, IA 50021
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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 Specrtum Living LLC's NPI number?

The NPI number for Specrtum Living LLC is 1174117386. It was assigned to this organization in the NPPES registry on February 28, 2021.

Where is Specrtum Living LLC located?

Specrtum Living LLC is located at 903 SE Rene St, Ankeny, IA 50021. The listed phone number is (515) 771-2340.

What is Specrtum Living LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Specrtum Living LLC was last updated on February 28, 2021. 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.