Individual provider Active NPI

Solange Mimi Kobwa

  • Home Health Aide
  • Cedar Rapids, IA
National Provider Identifier
1043120074
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
CHLT-4005-152057 Issued in IA
Practice address
4893 1St Ave SW Apt 3a
Cedar Rapids, IA 52405-4258
Phone
(319) 573-6759
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X CHLT-4005-152057 IA Primary

Addresses

Primary practice location

4893 1St Ave SW Apt 3a
Cedar Rapids, IA 52405-4258

Mailing address

4893 1St Ave SW Apt 3a
Cedar Rapids, IA 52405-4258
Phone (319) 573-6759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1043120074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4893 1ST AVE SW APT 3A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054258",
            "telephone_number": "319-573-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 1ST AVE SW APT 3A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054258",
            "telephone_number": "319-573-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBWA",
        "first_name": "SOLANGE",
        "middle_name": "MIMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IA",
            "license": "CHLT-4005-152057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.