FOX RUN ASSISTED LIVING
NPI 1376707760
Assisted Living Facility in Council Bluffs, IA

Q: What is Fox Run Assisted Living Operating, LLC's specialty?

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

Active since July 15, 2008CLIA 16D1049663 · Waiver

3121 MACINEERY DR, COUNCIL BLUFFS, IA 51501(712) 256-2741(712) 256-7609 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fox Run Assisted Living NPPES

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

FOX RUN ASSISTED LIVING (NPI 1376707760) is a healthcare organization registered as an assisted living facility in Council Bluffs, Iowa and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Linda Judkins, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376707760

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFOX RUN ASSISTED LIVING OPERATING, LLC

Location Address3121 MACINEERY DRCouncil Bluffs, IA 51501-8591

Mailing Address3121 Macineery DrCouncil Bluffs, IA 51501-8591 · (712) 256-2741 · Fax (712) 256-7609

Phone(712) 256-2741

Fax(712) 256-7609

Organization SubpartNo

Authorized OfficialLinda JudkinsExecutive Director · (712) 256-2741

Enumeration DateJuly 15, 2008

✔ NPI 1376707760 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 · SO193

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.

3121 MACINEERY DR, Council Bluffs, IA 51501

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Other Names 1

Doing Business AsFox Run Assisted Living

Other Identifiers 1

Medicaid030538388IA

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 16D1049663

Fox Run Assisted Living · Council Bluffs, IA

Active · expires Jan 11, 2028

CLIA Number16D1049663

Laboratory TypeOther

Certificate Effective DateJanuary 12, 2026

Certificate Expiration DateJanuary 11, 2028

Laboratory DirectorDonald Ridder

Laboratory Phone(712) 256-2741

Laboratory LocationFox Run Assisted Living3121 Macineery Drive, Council Bluffs, IA 51501

CLIA data matches this NPI record on: Address Name Phone

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.

PREMERE REHAB LLC

Physical Therapist

3121 MACINEERY DR
COUNCIL BLUFFS, IA 51501

Pottawattamie County (402) 502-5926

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 Fox Run Assisted Living Operating, LLC's NPI number?

The NPI number for Fox Run Assisted Living Operating, LLC is 1376707760. It was assigned to this organization in the NPPES registry on July 15, 2008. The provider is doing business as Fox Run Assisted Living.

Where is Fox Run Assisted Living Operating, LLC located?

Fox Run Assisted Living Operating, LLC is located at 3121 Macineery Dr, Council Bluffs, IA 51501. The listed phone number is (712) 256-2741.

What is Fox Run Assisted Living Operating, LLC's specialty?

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

Does Fox Run Assisted Living Operating, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1049663) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fox Run Assisted Living Operating, LLC was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.