Organization Active NPI

North Central Home Care

  • In Home Supportive Care Agency
  • Fort Dodge, IA
National Provider Identifier
1124397781
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NORTH CENTRAL HOME CARE
Practice address
328 S 8TH St Lowr Level
Fort Dodge, IA 50501-4660
Phone
(515) 573-8147
Fax
(515) 955-8729
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Daniel Wood
Title
Business Manager
Phone
(515) 573-8147

Specialties & licenses 1

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

Addresses

Primary practice location

328 S 8TH St Lowr Level
Fort Dodge, IA 50501-4660

Mailing address

328 S 8TH St Lowr Level
Fort Dodge, IA 50501-4660
Phone (515) 573-8147

Other identifiers 1

IdentifierTypeStateIssuer
X000135673MedicaidIA

National Provider Directory

National Provider Directory

Locations

328 S 8th St
Lowr
Fort Dodge, IA 50501
Phone (515) 573-8147

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1124397781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S 8TH ST LOWR LEVEL",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014660",
            "telephone_number": "515-573-8147",
            "fax_number": "515-955-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S 8TH ST LOWR LEVEL",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014660",
            "telephone_number": "515-573-8147",
            "fax_number": "515-955-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "515-573-8147"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000135673",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.