Organization Active NPI

Still Water Home Care

  • Home Health Agency
  • Des Moines, IA
National Provider Identifier
1083016174
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R 148120-4 Issued in MN
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.