Organization Active NPI

Jefferson County Homemaker-Home Health Aide Service

  • Home Health Agency
  • Fairfield, IA
National Provider Identifier
1013129998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JEFFERSON COUNTY HOMEMAKER-HOME HEALTH AIDE SERVICE
Practice address
200 W Briggs Ave
Fairfield, IA 52556-2826
Phone
(641) 472-5929
Fax
(641) 469-3189
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria J McKeever, RN
Title
Director
Phone
(641) 472-5929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

200 W Briggs Ave
Fairfield, IA 52556-2826

Mailing address

200 W Briggs Ave
Fairfield, IA 52556-2826
Phone (641) 472-5929

Other identifiers 1

IdentifierTypeStateIssuer
0149492MedicaidIA

National Provider Directory

National Provider Directory

Locations

200 W Briggs Ave
Fairfield, IA 52556
Phone (641) 472-5929

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013129998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W BRIGGS AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562826",
            "telephone_number": "641-472-5929",
            "fax_number": "641-469-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W BRIGGS AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562826",
            "telephone_number": "641-472-5929",
            "fax_number": "641-469-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY HOMEMAKER-HOME HEALTH AIDE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKEEVER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "641-472-5929",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149492",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.