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INDIANOLA RESIDENTIAL
NPI 1255412995
Community Based Residential Treatment Facility, Mental Illness in Indianola, IA

Active since October 18, 2006
401 W SALEM AVE, INDIANOLA, IA 50125(515) 961-2556 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indianola Residential NPPES

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

INDIANOLA RESIDENTIAL (NPI 1255412995) is a healthcare organization registered as a community based residential treatment facility, mental illness in Indianola, Iowa and active in the NPI registry since October 2006. The organization lists Russell Lee Hemness, Owner, as its authorized official.

NPPES Registry Identity

NPI1255412995
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameINDIANOLA RESIDENTIAL, LLC
Location Address401 W SALEM AVEIndianola, IA 50125-2439
Mailing Address5095 Windsor CirPleasant Hill, IA 50327-0908
Phone(515) 961-2556
Organization SubpartNo
Authorized OfficialRussell Lee HemnessOwner · (515) 250-0670
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255412995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in IA · 910290
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
401 W SALEM AVE, Indianola, IA 50125
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Other Names 1

Doing Business AsIndianola Residential

Other Identifiers 1

Medicaid0896910IA

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 Indianola Residential, LLC's NPI number?

The NPI number for Indianola Residential, LLC is 1255412995. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Indianola Residential.

Where is Indianola Residential, LLC located?

Indianola Residential, LLC is located at 401 W Salem Ave, Indianola, IA 50125. The listed phone number is (515) 961-2556.

What is Indianola Residential, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Indianola Residential, 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.