Siouxland Aging Services Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SIOUXLAND AGING SERVICES INC.

Practice address

2301 Pierce St
Sioux City, IA 51104-3850

Phone

(712) 279-6900

Fax

(712) 233-3415

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Ann M Deboom

Title

Executive Director

Phone

(712) 279-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124237938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043850",
            "telephone_number": "712-279-6900",
            "fax_number": "712-233-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043850",
            "telephone_number": "712-279-6900",
            "fax_number": "712-233-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND AGING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEBOOM",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-279-6900"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107839",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sioux City Healthcare, LLC
• Sioux City Hospitalist Group, LLC
• Sioux City Optometric Center, P C
• Sioux City Physical Therapy PC
• Siouxland Adult Medicine, PLLC
• Siouxland Community Health Center
• Siouxland Community Health Center
• Siouxland Community Health Center
• Siouxland Community Health Center
• Siouxland Community Health Center

• Case Management Agency in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Case Management 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.