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APPLE VALLEY ASSISTED LIVING LLC.
NPI 1508085879
Point of Service in Clear Lake, IA

Active since April 25, 2007
405 27TH AVE S, CLEAR LAKE, IA 50428(641) 357-7083(641) 357-1512 Get Directions Write a Review

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

About Apple Valley Assisted Living Llc. NPPES

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

APPLE VALLEY ASSISTED LIVING LLC. (NPI 1508085879) is a healthcare organization registered as a point of service in Clear Lake, Iowa and active in the NPI registry since April 2007. The organization lists Terri Ann Cosselman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508085879
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameAPPLE VALLEY ASSISTED LIVING LLC.
Location Address405 27TH AVE SClear Lake, IA 50428-4002
Mailing Address405 27th Ave SClear Lake, IA 50428-4002 · (641) 357-7083 · Fax (641) 357-1512
Phone(641) 357-7083
Fax(641) 357-1512
Organization SubpartNo
Authorized OfficialTerri Ann CosselmanAdministrator · (641) 357-7083
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508085879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in IA · S0166
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
405 27TH AVE S, Clear Lake, IA 50428
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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 16D1057376

Apple Valley Assisted Living · Clear Lake, IA
Expired · Aug 9, 2026
CLIA Number16D1057376
Laboratory TypeOther
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorBrenda Smith
Laboratory Phone(641) 357-7083
Laboratory LocationApple Valley Assisted Living405 27th Avenue South, Clear Lake, IA 50428
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN MOORE CCC-SLP
Speech-Language Pathologist
405 27TH AVE S
CLEAR LAKE, IA 50428
Cerro Gordo County (641) 357-7083
IARC CL, LLC
Assisted Living Facility
405 27TH AVE S
CLEAR LAKE, IA 50428
Cerro Gordo County (641) 357-7083

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 Apple Valley Assisted Living LLC.'s NPI number?

The NPI number for Apple Valley Assisted Living LLC. is 1508085879. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Apple Valley Assisted Living LLC. located?

Apple Valley Assisted Living LLC. is located at 405 27th Ave S, Clear Lake, IA 50428. The listed phone number is (641) 357-7083.

What is Apple Valley Assisted Living LLC.'s specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Apple Valley Assisted Living 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.