# MADRID HOME FOR THE AGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306806849
- **Authorized official:** KRIS HANSEN (PRESIDENT/CEO)
- **Authorized official phone:** (515) 795-3007

## Contact information

- **Practice address:** 613 W NORTH ST, MADRID, IA 50156-1023
- **Practice address phone:** (515) 795-3007
- **Practice address fax:** (515) 795-2138
- **Mailing address:** 613 W NORTH ST, MADRID, IA 50156-1023
- **Mailing address phone:** (515) 795-3007
- **Mailing address fax:** (515) 795-2138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 080797 | IA | Yes |
| 314000000X | Skilled Nursing Facility | 080797 | IA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 07/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0258863 | — | IA |
| 05 | — | 0802371 | — | IA |