Organization Active NPI

Private Care at Home Iowa, LLC

  • Home Health Agency
  • Mt Pleasant, IA
National Provider Identifier
1124767918
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIVATE CARE AT HOME IOWA, LLC
Practice address
101 S Cherry St Ste 2
Mt Pleasant, IA 52641-1971
Phone
(319) 385-1519
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Mrs. Denice Kay Pearson-LibbyNPI 1033717988
Title
Owner
Phone
(319) 931-4098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 S Cherry St Ste 2
Mt Pleasant, IA 52641-1971

Mailing address

101 S Cherry St Ste 2
Mt Pleasant, IA 52641-1971
Phone (319) 385-1519

Other names 1

  • Private CARE at Home Iowa, LLC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2264010Private Care at Home Iowa101 South Cherry Street, Suite 2, Mount Pleasant, IA 52641Certificate of waiverJul 7, 2026

National Provider Directory

National Provider Directory

Locations

101 S Cherry St
Ste 2
Mt Pleasant, IA 52641
Phone (319) 385-1519

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1124767918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S CHERRY ST STE 2",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411971",
            "telephone_number": "319-385-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S CHERRY ST STE 2",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411971",
            "telephone_number": "319-385-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE CARE AT HOME IOWA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "PEARSON-LIBBY",
        "authorized_official_first_name": "DENICE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-931-4098",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private CARE at Home Iowa, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mt Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.