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KEOKUK AREA GROUP HOME
NPI 1790842615
Custodial Care Facility - Adult Care Home in Keokuk, IA

Active since January 02, 2007
317 HIGH ST, KEOKUK, IA 52632(319) 524-1871(319) 524-2612 Get Directions Write a Review

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

About Keokuk Area Group Home NPPES

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

KEOKUK AREA GROUP HOME (NPI 1790842615) is a healthcare organization registered as an adult care home in Keokuk, Iowa and active in the NPI registry since January 2007. The organization lists Thomas J Jenkins, Qmrp Administrator, as its authorized official.

NPPES Registry Identity

NPI1790842615
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameKEOKUK AREA GROUP HOME
Location Address317 HIGH STKeokuk, IA 52632-5939
Mailing Address317 High StKeokuk, IA 52632-5939 · (319) 524-1871 · Fax (319) 524-2612
Phone(319) 524-1871
Fax(319) 524-2612
Organization SubpartNo
Authorized OfficialThomas J JenkinsQmrp Administrator · (319) 524-1871
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790842615 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 · 560091
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.
317 HIGH ST, Keokuk, IA 52632
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Other Identifiers 1

Medicaid0893438IA

Other Providers at the Same Location NPPES

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

KEOKUK AREA GROUP HOME
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
317 HIGH ST
KEOKUK, IA 52632
Lee County (319) 524-1871

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 Keokuk Area Group Home's NPI number?

The NPI number for Keokuk Area Group Home is 1790842615. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Keokuk Area Group Home located?

Keokuk Area Group Home is located at 317 High St, Keokuk, IA 52632. The listed phone number is (319) 524-1871.

What is Keokuk Area Group Home'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 Keokuk Area Group Home 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.