County of Taylor
Organization
Active NPI
Home Health Agency · Bedford, IA
NPI 1043202062 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1043202062
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 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
- Organization subpart
- No
Authorized official
- Name
- Joan E Gallagher
- Title
- Agency Administrator
- Phone
- (712) 523-3405
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Corporate family (same tax ID) 8
Organizations that report the same tax identification number in the National Provider Directory.
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Medicare Care Compare: Home health agency
- Listed as
- Taylor County Public Health Agency CCN 167074
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Government Operated
- Certified
- Jun 23, 1975
- Medicare certification status
- Active (Provider of Services file)
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Source: Medicare Care Compare.
Laboratory certificates & supplier records
Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|
| 16D0648003 | Taylor County Public Health
507 Central Avenue, Bedford, IA 50833 | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
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
- Government · Non-profit
- Enrollment address
- 507 Central Ave
Bedford, IA 50833-1406
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.
| Name | Role | Since | Share |
|---|
Sandra Boswell
Individual
|
W-2 Managing Employee
Nurse Supervisor |
Mar 22, 2011 |
|
Crystal Drake
Individual
|
W-2 Managing Employee
Ad; |
Jun 8, 2016 |
100% |
County of Taylor
Organization · Bedford, IA
|
Other |
Mar 22, 2012 |
100% |
Danielle Lawrence
Individual
|
W-2 Managing Employee
Office Manager |
Dec 2, 2019 |
|
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| O20030825000010 |
IA |
Part a Provider - Home Health Agency |
8426969874 |
Practice locations: Bedford, IA; Corning, IA |
National Provider Directory
- Tax ID family
- County of Taylor (9 organizations share this tax ID)
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Home Health Agency |
251E00000X |
|
IA |
Yes |
| 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
| Identifier | Type | State | Issuer |
|---|
| 0670745 | Medicaid | IA | |
Other names
- County Auditor Other name
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.