Active NPI
Friends at Home
- In Home Supportive Care Agency
- Waterloo, IA
National Provider Identifier
1053755231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FRIENDS AT HOME
- Practice address
- 600 Park LN
Waterloo, IA 50702-5200 - Phone
- (319) 291-8100
- Fax
- (319) 291-8324
- NPI assigned
- Apr 18, 2013
- 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
- Lisa Gates
- Title
- Cfo/Assistant Administrator
- Phone
- (319) 291-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
600 Park LN
Waterloo, IA 50702-5200
Mailing address
600 Park LN
Waterloo, IA 50702-5200
Phone (319) 291-8100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366243200000",
"number": "1053755231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PARK LN",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025200",
"telephone_number": "319-291-8100",
"fax_number": "319-291-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PARK LN",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025200",
"telephone_number": "319-291-8100",
"fax_number": "319-291-8324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDS AT HOME",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A",
"authorized_official_last_name": "GATES",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "CFO/ASSISTANT ADMINISTRATOR",
"authorized_official_telephone_number": "319-291-8100"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.