Active NPI
Jefferson County Homemaker-Home Health Aide Service
- Home Health Agency
- Fairfield, IA
National Provider Identifier
1013129998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149492 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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
- JBF,Inc Dba Martin Pharmacy
- JCHC Specialty Services
- Jefferson County (Jefferson County Ambulance Service)
- Jefferson County Area Ambulance Inc
- Jefferson County Health Center Retail Pharmacy (The Nook Pharmacy)
- Jefferson County Hospital (JCHC Provider Services)
- Jefferson County Hospital (Jefferson County Health Center)
- Jefferson County Hospital
- Jefferson County Hospital (JCHC Rural Health Clinic)
- Jefferson County Hospital (Jefferson County Health Center)
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.