NPIMap

Organization Active NPI

County of Taylor

  • Home Health Agency
  • Bedford, IA
National Provider Identifier
1043202062
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNTY OF TAYLOR
Practice address
405 Jefferson St
Ste 1
Bedford, IA 50833-1300
Phone
(712) 523-3405
Fax
(712) 523-3402
NPI assigned
Aug 16, 2005
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Joan E Gallagher
Title
Agency Administrator
Phone
(712) 523-3405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IA Primary
Public Health or Welfare Agency 251K00000X IA

Addresses

Primary practice location

405 Jefferson St
Ste 1
Bedford, IA 50833-1300

Mailing address

405 Jefferson St
Ste 1
Bedford, IA 50833-1300
Phone (712) 523-3405

Other identifiers 1

IdentifierTypeStateIssuer
0670745MedicaidIA

Other names 1

  • County Auditor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030825000010 IA Part A Provider - Home Health Agency 8426969874 Practice locations: Bedford, IA; Corning, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043202062. Details of each certification follow.

Home health agency certification: CCN 167074

Legal name
COUNTY OF TAYLOR
Doing business as
TAYLOR COUNTY PUBLIC HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 23, 1975
Last certification
Nov 21, 2019
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Enrollment address
507 Central Ave
Bedford, IA 50833-1406

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Taylor County Public Health AgencyCCN 167074 · All quality measures
Overall star rating
4.5 of 5
Ownership
Government Operated
Certified
Jun 23, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0648003Taylor County Public Health507 Central Avenue, Bedford, IA 50833Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
County of Taylor9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

405 Jefferson St
Ste 1
Bedford, IA 50833
Phone (712) 523-3405

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sandra Boswell Individual W-2 Managing EmployeeNurse Supervisor Mar 22, 2011
Crystal Drake Individual W-2 Managing EmployeeAd; Jun 8, 2016 100%
County of Taylor Organization, Bedford, IA Other Mar 22, 2012 100%
Danielle Lawrence Individual W-2 Managing EmployeeOffice Manager Dec 2, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1043202062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 JEFFERSON ST",
            "address_2": "STE 1",
            "city": "BEDFORD",
            "state": "IA",
            "postal_code": "508331300",
            "telephone_number": "712-523-3405",
            "fax_number": "712-523-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 JEFFERSON ST",
            "address_2": "STE 1",
            "city": "BEDFORD",
            "state": "IA",
            "postal_code": "508331300",
            "telephone_number": "712-523-3405",
            "fax_number": "712-523-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "712-523-3405"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670745",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Auditor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bedford, IA

Sources for this page

Verify at the official NPI Registry.