Active NPI
North Central Home Care
- In Home Supportive Care Agency
- Fort Dodge, IA
National Provider Identifier
1124397781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2011
- 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
- Daniel Wood
- Title
- Business Manager
- Phone
- (515) 573-8147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X000135673 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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
- Andrew Eric Newell
- Barbara Newhart, CADC
- Mikaela M Newlun, PHARMD
- Alan P Nguyen, DO
- Marissa Castine Nichols
- North Central Iowa Mental Health Center Inc
- North Central Iowa Mental Health Center Inc (UnityPoint Health-Berryhill Center)
- North Central Iowa Mental Health Center Inc (Berryhill Center for Mental Health)
- North Central Iowa Mental Health Center Inc (UnityPoint Health Berryhill Center)
- North Central Iowa Mental Health Center Inc (Berryhill Center for Mental Health)
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.