STORY COUNTY COMMUNITY LIFE PROGRAM
NPI 1689986887
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ames, IA

Active since July 06, 2010
104 S HAZEL AVE, AMES, IA 50010(515) 956-2600(515) 956-2609 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 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 1689986887) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ames, Iowa and active in the NPI registry since July 2010. The organization lists Gayla R Harken, Director, as its authorized official.

NPPES Registry Identity

NPI1689986887
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSTORY COUNTY COMMUNITY LIFE PROGRAM
Location Address104 S HAZEL AVEAmes, IA 50010-5952
Mailing Address104 S Hazel AveAmes, IA 50010-5952 · (515) 956-2600 · Fax (515) 956-2609
Fax(515) 956-2609
Organization SubpartNo
Authorized OfficialGayla R HarkenDirector · (515) 956-2602
Enumeration DateJuly 6, 2010
NPI 1689986887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
104 S HAZEL AVE, Ames, IA 50010

Other Identifiers 1

Medicaid1366516114IA

Other Providers at the Same Location NPPES 4

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

Community/Behavioral Health
104 S HAZEL AVE
AMES, IA 50010
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
104 S HAZEL AVE
AMES, IA 50010
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
104 S HAZEL AVE
AMES, IA 50010
Community/Behavioral Health
104 S HAZEL AVE
AMES, IA 50010

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 1689986887. It was assigned to this organization in the NPPES registry on July 6, 2010.

Where is Story County Community Life Program located?

Story County Community Life Program is located at 104 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 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 Story County Community Life Program was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.