ARHC PHCTNIA01 TRS
NPI 1942849112
Assisted Living Facility in Clinton, IA

Active since January 05, 2020CLIA 16D1058138 · Waiver
1701 13TH AVE N, CLINTON, IA 52732(563) 243-6870(563) 242-0404 Get Directions Write a Review

NPPES record last updated: January 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Arhc Phctnia01 Trs NPPES

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

ARHC PHCTNIA01 TRS (NPI 1942849112), doing business as Prairie Hills At Clinton, is a healthcare organization registered as an assisted living facility in Clinton, Iowa and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Kris Trotter, Manager, as its authorized official.

NPPES Registry Identity

NPI1942849112
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameARHC PHCTNIA01 TRS
Location Address1701 13TH AVE NClinton, IA 52732-3300
Mailing Address1701 13th Ave NClinton, IA 52732-3300 · (563) 243-6870 · Fax (563) 242-0404
Fax(563) 242-0404
Organization SubpartNo
Authorized OfficialKris TrotterManager · (563) 243-6870
Enumeration DateJanuary 5, 2020
NPI 1942849112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
1701 13TH AVE N, Clinton, IA 52732

Other Names 1

Doing Business AsPrairie Hills At Clinton

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 16D1058138

Arch Phctnia01 Trs, LLC Dba Addington Place Of Clinton · Clinton, IA
Active · expires Aug 29, 2026
CLIA Number16D1058138
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorMike Saad
Laboratory Phone(563) 243-6870
Laboratory LocationArch Phctnia01 Trs, LLC Dba Addington Place Of Clinton1701 13th Avenue North, Clinton, IA 52732
CLIA data matches this NPI record on: Address 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.

Assisted Living Facility
1701 13TH AVE N
CLINTON, IA 52732

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 Arhc Phctnia01 Trs's NPI number?

The NPI number for Arhc Phctnia01 Trs is 1942849112. It was assigned to this organization in the NPPES registry on January 5, 2020. The provider is doing business as Prairie Hills at Clinton.

Where is Arhc Phctnia01 Trs located?

Arhc Phctnia01 Trs is located at 1701 13th Ave N, Clinton, IA 52732. The listed phone number is (563) 243-6870.

What is Arhc Phctnia01 Trs's specialty?

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

Does Arhc Phctnia01 Trs hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1058138) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arhc Phctnia01 Trs was last updated on January 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.