County of Pocahontas

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

N/A Issued in NU

Legal business name

COUNTY OF POCAHONTAS

Doing business as

Pocahontas County Health Department

Practice address

21 3Rd Ave NE
Pocahontas, IA 50574-1614

Phone

(712) 335-4142

Fax

(712) 335-3581

NPI assigned

Sep 6, 2006

Last updated

Aug 13, 2025By 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

Jill Sue Conlin, LBSW

Title

Administrator

Phone

(712) 335-4142

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pocahontas County Health Department 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 1093818189. Details of each certification follow.

• CCN 167096 Home health agency · Active · Details

Home health agency certification: CCN 167096

Legal name

COUNTY OF POCAHONTAS

Doing business as

POCAHONTAS COUNTY PUBLIC HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 10, 1978

Last certification

Oct 24, 2018

Ownership / control type

Government Operated

Organization structure

GovernmentNon-profit

Enrollment address

21 3Rd Ave NE
Pocahontas, IA 50574-1614

Listed as

Pocahontas County Public HealthCCN 167096 · All quality measures

Ownership

Government Operated

Certified

May 10, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Tax ID family

County of Pocahontas3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pocahontas County Health Department

  • Public Health or Welfare Agency
  • Pocahontas, IA
  • NPI 1497171920
  NPD tax ID
• Pocahontas County Home Care Aide Agency

  • Home Health Agency
  • Pocahontas, IA
  • NPI 1669547428
  NPD tax ID

Locations

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.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pocahontas County Health Department

  • Public Health or Welfare Agency
  • Pocahontas, IA
  • NPI 1497171920
  NPPES parent name

Affiliated clinicians 2

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

• Jennifer E Boevers, DO

  • Family Medicine Physician
  • Pocahontas, IA
  • NPI 1881605996

  Home health agency

  Care Compare affiliation
• Kylie Maurer, PA-C

  • Physician Assistant
  • Pocahontas, IA
  • NPI 1275916272

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1093818189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 COURT SQUARE",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741629",
            "telephone_number": "712-335-4142",
            "fax_number": "712-335-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 3RD AVE NE",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741614",
            "telephone_number": "712-335-4142",
            "fax_number": "712-335-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF POCAHONTAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "CONLIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-335-4142",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670968",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pocahontas County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pocahontas County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arlington Place - Pocahontas
• Jennifer E Boevers, DO
• Mara Jayne Clark, PT
• Dennis Alan Dahl, DDS
• Nicole Terri Dentlinger, RN
• Roger Gillman Egland, PHYSICAL THERAPIST
• Ted P George, DO
• Treva Lynn Graves, M.A. CCC/SLP

• Home Health Agency in Pocahontas, IA
• Providers in Pocahontas, 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 13, 2025; 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.