Organization Active NPI

Friends at Home

  • In Home Supportive Care Agency
  • Waterloo, IA
National Provider Identifier
1053755231
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Apr 18, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.