NPIMap

Organization Active NPI

County of Winnebago

Doing business as Winnebago County Public Health

  • Home Health Agency
  • Forest City, IA
National Provider Identifier
1144274440
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNTY OF WINNEBAGO
Doing business as
Winnebago County Public Health
Practice address
216 South 4TH Street
Forest City, IA 50436
Phone
(641) 585-4763
Fax
(641) 585-1788
NPI assigned
May 20, 2006
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Julie Sorenson
Title
Administrator
Phone
(641) 585-4763

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Public Health or Welfare Agency 251K00000X 251E00000X IA

Addresses

Primary practice location

216 South 4TH Street
Forest City, IA 50436

Mailing address

216 South 4TH Street
Forest City, IA 50436
Phone (641) 585-4763

Other names 1

  • Winnebago County Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060807000460 IA Part A Provider - Home Health Agency 6406859776 Practice locations: Forest City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144274440. Details of each certification follow.

Home health agency certification: CCN 167035

Legal name
COUNTY OF WINNEBAGO
Doing business as
WINNEBAGO COUNTY PUBLIC HEALTH NURSING SERVICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 11, 1969
Last certification
Feb 6, 2019
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Incorporated
Jul 3, 1969 in IA
Enrollment address
216 S 4TH St
Forest City, IA 50436-1802

Care Compare: Home health agency

Medicare Care Compare
Listed as
Winnebago County PHNSCCN 167035 · All quality measures
Overall star rating
2 of 5
Ownership
Government Operated
Certified
Jun 11, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
County of Winnebago5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Allison Rice Individual W-2 Managing EmployeeClinical Manager Sep 22, 2018
Julie a Sorenson Individual W-2 Managing EmployeeBusiness Financial Manager Jun 19, 2006
County of Winnebago Organization, Forest City, IA Non-profit 5% Or Greater Direct Ownership Interest Mar 10, 2006 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1144274440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SOUTH 4TH STREET",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "50436",
            "telephone_number": "641-585-4763",
            "fax_number": "641-585-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SOUTH 4TH STREET",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "50436",
            "telephone_number": "641-585-4763",
            "fax_number": "641-585-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WINNEBAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-585-4763"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IA",
            "license": "251E00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winnebago County Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winnebago County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest City, IA

Sources for this page

Verify at the official NPI Registry.