NPIMap

Organization Active NPI

County of Crawford

  • Home Health Agency
  • Denison, IA
National Provider Identifier
1083739650
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNTY OF CRAWFORD
Practice address
105 N Main St
Courthouse Annex
Denison, IA 51442-1349
Phone
(712) 263-3303
Fax
(712) 263-4033
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Anne Fineran, RN BSN
Title
Administrator
Phone
(712) 263-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

105 N Main St
Courthouse Annex
Denison, IA 51442-1349

Mailing address

105 N Main St
Courthouse Annex
Denison, IA 51442-1349
Phone (712) 263-3303

Other identifiers 1

IdentifierTypeStateIssuer
0670661MedicaidIA

Other names 2

  • Crawford County Community Health Doing business as
  • Crawford County Home Health, Hospice & Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100308000704 IA Part A Provider - Home Health Agency 5496890923 Practice locations: Denison, IA

Home health agency certification: CCN 167066

Legal name
COUNTY OF CRAWFORD
Doing business as
CRAWFORD COUNTY HOME HEALTH, HOSPICE & PUBLIC HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 1, 1974
Last certification
Apr 28, 2021
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Enrollment address
105N Main St
Denison, IA 51442-1349

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Crawford County Home Health, Hospice & Public HealCCN 167066
Overall star rating
2.5 of 5
Ownership
Government Operated
Certified
May 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
County of Crawford8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of Crawford Organization, Denison, IA 5% Or Greater Direct Ownership Interest May 1, 1974 100%
Kimberly Anne Fineran Individual W-2 Managing Employee Dec 24, 2022
Lynn Nulle Individual W-2 Managing EmployeeFinance Manager Jul 23, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crawford County Community HealthDenison, IA, CCN 161561 Hospice Other (100%) Jul 1, 1999

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1083739650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "address_2": "COURTHOUSE ANNEX",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421349",
            "telephone_number": "712-263-3303",
            "fax_number": "712-263-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "address_2": "COURTHOUSE ANNEX",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421349",
            "telephone_number": "712-263-3303",
            "fax_number": "712-263-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CRAWFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "FINERAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-263-3303",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670661",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford County Community Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crawford County Home Health, Hospice & Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crawford County Home Health, Hospice & Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denison, IA

Sources for this page

Verify at the official NPI Registry.