Active NPI
Still Water Home Care
- Home Health Agency
- Des Moines, IA
National Provider Identifier
1083016174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- R 148120-4
- Legal business name
- STILL WATER HOME CARE
- Practice address
- 1414 E 9TH St
Des Moines, IA 50316-2261 - Phone
- (515) 441-0708
- NPI assigned
- Sep 19, 2014
- Last updated
- Sep 19, 2014
- 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
- Rita Johnson Martor
- Title
- Owner 1
- Phone
- (515) 441-0708
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | R 148120-4 | MN | Primary |
| Foster Care Agency | 253J00000X | R 148120-4 | MN |
Addresses
Primary practice location
1414 E 9TH St
Des Moines, IA 50316-2261
Mailing address
1414 E 9TH St
Des Moines, IA 50316-2261
Phone (515) 441-0708
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411084800000",
"number": "1083016174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 E 9TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162261",
"telephone_number": "515-441-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 E 9TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162261",
"telephone_number": "515-441-0708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILL WATER HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A",
"authorized_official_last_name": "MARTOR",
"authorized_official_first_name": "RITA",
"authorized_official_middle_name": "JOHNSON",
"authorized_official_title_or_position": "OWNER 1",
"authorized_official_telephone_number": "515-441-0708"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "R 148120-4",
"primary": true
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "MN",
"license": "R 148120-4",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.