Eastern Iowa Visiting Nurses and Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

167262A Issued in IA

Legal business name

EASTERN IOWA VISITING NURSES AND HOME HEALTH CARE, LLC

Practice address

221 E 1St St
Monticello, IA 52310-1592

Phone

(319) 465-6299

Fax

(319) 465-6317

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By 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

Mrs. Linda D Fanton, RN

Title

Administrator

Phone

(319) 465-6299

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114938412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E 1ST ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101592",
            "telephone_number": "319-465-6299",
            "fax_number": "319-465-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 1ST ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101592",
            "telephone_number": "319-465-6299",
            "fax_number": "319-465-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN IOWA VISITING NURSES AND HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-465-6299",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": "167262A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672618",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "67262",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Monticello
• Broderick Eugene Clemmons
• County of Jones (Jets Transportation)
• Kristen K Decker, RD, LD
• Lacy Shay Doyle, M.A.
• Jennifer A Fasnacht, OT
• Philip First, DO
• Gary W. Fisher, OD PC
• Allison Gruwell, OD
• Hartig Drug Co Corp (Hartig Drug Co #28)

• Home Health Agency in Monticello, IA
• Providers in Monticello, 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 22, 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.