Healthcare Provider Details

I. General information

NPI: 1679468649
Provider Name (Legal Business Name): SLAINTE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 08/30/2025
Certification Date: 08/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 E 2ND ST
SUMNER IA
50674-1621
US

IV. Provider business mailing address

311 E 2ND ST
SUMNER IA
50674-1621
US

V. Phone/Fax

Practice location:
  • Phone: 605-310-4761
  • Fax:
Mailing address:
  • Phone: 605-310-4761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERRICA ENELL LINDQUIST
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA, QIDP, DSA
Phone: 563-578-7160