Healthcare Provider Details

I. General information

NPI: 1396663621
Provider Name (Legal Business Name): MITCHELL HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 MORNINGSIDE AVE
SIOUX CITY IA
51106-3943
US

IV. Provider business mailing address

6140 MORNINGSIDE AVE
SIOUX CITY IA
51106-3943
US

V. Phone/Fax

Practice location:
  • Phone: 712-244-3020
  • Fax: 712-244-3024
Mailing address:
  • Phone: 712-244-3020
  • Fax: 712-244-3024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE VEURINK
Title or Position: EXECUTIVE DIRECTOR
Credential: LNHA
Phone: 712-898-1637