County of Harrison

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COUNTY OF HARRISON

Doing business as

Harrison County Home and Public Health

Practice address

122 W. 8TH Street
Logan, IA 51546-1416

Phone

(712) 644-2220

Fax

(712) 644-3238

NPI assigned

Mar 21, 2006

Last updated

Aug 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Sherer

Title

Administrator

Phone

(712) 644-2220

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Harrison County Home and Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093774739. Details of each certification follow.

• CCN 167046 Home health agency · Active · Details

Home health agency certification: CCN 167046

Legal name

COUNTY OF HARRISON

Doing business as

HARRISON COUNTY HOME & PUBLIC HEALTH DEPARTMENT

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 18, 1971

Last certification

Oct 11, 2018

Ownership / control type

Government Operated

Organization structure

GovernmentNon-profit

Incorporated

Mar 7, 1853 in IA

Enrollment address

122 W 8TH St
Logan, IA 51546-1416

Listed as

Harrison County Public HealthCCN 167046 · All quality measures

Overall star rating

2 of 5

Ownership

Government Operated

Certified

Jan 18, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Harrison Co Pulic Healt2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Harrison County Homemaker Agency

  • Home Health Agency
  • Logan, IA
  • NPI 1770944530
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/baa3016e-4126-494b-9b58-2e20bc13f248/

All disclosed owners & managing parties 2

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

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie Lynn Grady, M.D.

  • Family Medicine Physician
  • Logan, IA
  • NPI 1548484165
  NPD
• Michael Ourada, MD

  • Family Medicine Physician
  • Hamburg, IA
  • NPI 1427164789
  NPD (past)
• Christopher Jankovich, P.A.-C.

  • Emergency Medicine Physician
  • Omaha, NE
  • NPI 1588714588
  NPD (past)
• Charles Johnston, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1588655526
  NPD (past)
• Mary A Lob, MD

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1841238771
  NPD (past)
• Beverly M Yee, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1609866748
  NPD (past)

Affiliated clinicians 5

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

• Nathaniel Vaughn Alvis, D.O.

  • Family Medicine Physician
  • Dunlap, IA
  • NPI 1861634008

  Home health agency

  Care Compare affiliation
• Jennifer Hall, A.R.N.P.

  • Nurse Practitioner
  • Dunlap, IA
  • NPI 1225188220

  Home health agency

  Care Compare affiliation
• Melissa Kay Klutts, ARNP

  • Family Nurse Practitioner
  • Council Bluffs, IA
  • NPI 1215445077

  Home health agency

  Care Compare affiliation
• Sharon Louise Pitt, APRN, FNP-C

  • Family Nurse Practitioner
  • Missouri Valley, IA
  • NPI 1326443342

  Home health agency

  Care Compare affiliation
• Amy Jackson, A.R.N.P.

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1679623672

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1093774739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W. 8TH STREET",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "515461416",
            "telephone_number": "712-644-2220",
            "fax_number": "712-644-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W. 8TH STREET",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "515461416",
            "telephone_number": "712-644-2220",
            "fax_number": "712-644-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HARRISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "SHERER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-644-2220"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "67046",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670463",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "167046",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison County Home and Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harrison County Home and Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa (CHI Health Clinic Logan)
• Kathleen Chapman, NP
• Casey Lynne Charbonneau, FNP-BC
• Benjamin R Deutschman, DPT
• Eby Drug Store (Logan), Inc
• Empower Chiropractic PLLC
• Empower Family Chiropractic LLC
• Rachel S Francis, DC

• Home Health Agency in Logan, IA
• Providers in Logan, IA by specialty
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.