PROFFITT'S RESIDENTIAL
NPI 1750412672
Custodial Care Facility - Adult Care Home in Centerville, IA

Active since March 09, 2007
615 WEST WASHINGTON ST, CENTERVILLE, IA 52544(641) 856-8344(641) 437-4161 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proffitt's Residential NPPES

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

PROFFITT'S RESIDENTIAL (NPI 1750412672) is a healthcare organization registered as an adult care home in Centerville, Iowa and active in the NPI registry since March 2007. The organization lists Mary Catherine Proffitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1750412672
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NamePROFFITT'S RESIDENTIAL
Location Address615 WEST WASHINGTON STCenterville, IA 52544-1623
Mailing Address615 W Washington StCenterville, IA 52544-1623 · (641) 856-8344 · Fax (641) 437-4161
Fax(641) 437-4161
Organization SubpartNo
Authorized OfficialMary Catherine ProffittOwner · (641) 856-8344
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1750412672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in IA · R542
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
615 WEST WASHINGTON ST, Centerville, IA 52544

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 Proffitt's Residential's NPI number?

The NPI number for Proffitt's Residential is 1750412672. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Proffitt's Residential located?

Proffitt's Residential is located at 615 West Washington St, Centerville, IA 52544. The listed phone number is (641) 856-8344.

What is Proffitt's Residential's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Proffitt's Residential 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.