Active NPI
Western Home
- Nursing Facility Supplies (DME)
- Cedar Falls, IA
National Provider Identifier
1124239751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility Supplies (DME)
- Legal business name
- WESTERN HOME
- Practice address
- 420 E 11TH St
Cedar Falls, IA 50613-3364 - Phone
- (319) 277-2141
- Fax
- (319) 268-8338
- NPI assigned
- May 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry L. Harris
- Title
- President
- Phone
- (319) 277-2141
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
420 E 11TH St
Cedar Falls, IA 50613-3364
Mailing address
420 E 11TH St
Cedar Falls, IA 50613-3364
Phone (319) 277-2141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0166140 | Other | IA | DME |
Other names 1
- Elizabeth E. Martin Health Center
National Provider Directory
National Provider Directory- Tax ID family
- Martin Health Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Cedar Falls, IA
- NPI 1568686236
-
- Skilled Nursing Facility
- Cedar Falls, IA
- NPI 1669971487
Locations
410 E 10th St
Cedar Falls, IA 50613
Phone (319) 277-2141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240444800000",
"number": "1124239751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 11TH ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506133364",
"telephone_number": "319-277-2141",
"fax_number": "319-268-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 11TH ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506133364",
"telephone_number": "319-277-2141",
"fax_number": "319-268-8338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2009-04-23",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-277-2141"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "0166140",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elizabeth E. Martin Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.