Organization Active NPI

My Nurse Healthcare, LLC

  • In Home Supportive Care Agency
  • Council Bluffs, IA
National Provider Identifier
1114548757
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MY NURSE HEALTHCARE, LLC
Practice address
124 Huron Cir
Council Bluffs, IA 51501-8327
Phone
(402) 250-8465
Fax
(267) 790-5172
NPI assigned
May 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Julie Ann Wyssman, RN
Title
RN Owner
Phone
(402) 250-8465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

124 Huron Cir
Council Bluffs, IA 51501-8327

Mailing address

124 Huron Cir
Council Bluffs, IA 51501-8327
Phone (402) 250-8465

Other names 1

  • My Nurse Healthcare, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mynursehealthcare.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1114548757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HURON CIR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515018327",
            "telephone_number": "402-250-8465",
            "fax_number": "267-790-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HURON CIR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515018327",
            "telephone_number": "402-250-8465",
            "fax_number": "267-790-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NURSE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "WYSSMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RN OWNER",
        "authorized_official_telephone_number": "402-250-8465",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mynursehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "124 Huron Cir",
            "city": "Council Bluffs",
            "state": "IA",
            "country_code": "US",
            "postal_code": "515018327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "My Nurse Healthcare, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.