Active NPI
Cedar Rapids Ia Home Care LLC
- In Home Supportive Care Agency
- Cedar Rapids, IA
National Provider Identifier
1235643941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CEDAR RAPIDS IA HOME CARE LLC
- Practice address
- 1221 Park PL NE
Cedar Rapids, IA 52402-2001 - Phone
- (319) 320-2069
- NPI assigned
- Nov 17, 2017
- Last updated
- Nov 17, 2017
- 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
- Mr. Anthony Ray Betters Jr.
- Title
- Owner/ Director
- Phone
- (319) 320-2069
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | IA | ||
| Respite Care | 385H00000X | IA | ||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Physical Disabilities Respite Care | 385HR2065X | |||
| In Home Supportive Care Agency | 253Z00000X | IA | Primary |
Addresses
Primary practice location
1221 Park PL NE
Cedar Rapids, IA 52402-2001
Mailing address
1221 Park PL NE
Cedar Rapids, IA 52402-2001
Phone (319) 320-2069
National Provider Directory
National Provider DirectoryLocations
1221 Park Pl NE
Cedar Rapids, IA 52402
Phone (319) 320-2069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510876800000",
"number": "1235643941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PARK PL NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524022001",
"telephone_number": "319-320-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PARK PL NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524022001",
"telephone_number": "319-320-2069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR RAPIDS IA HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-17",
"last_updated": "2017-11-17",
"status": "A",
"authorized_official_last_name": "BETTERS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "OWNER/ DIRECTOR",
"authorized_official_telephone_number": "319-320-2069",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
- Cedar Rapids Endodontics PC
- Cedar Rapids Family Dental Center PC
- Cedar Rapids Fire Department
- Cedar Rapids Healthcare Alliance
- Cedar Rapids Hearing Center
- Cedar Rapids Keys to Living (Keys to Living Counseling Center)
- Cedar Rapids Med Ed Found Phcy
- Cedar Rapids Medical Education Foundation
- Cedar Rapids Neurologists PC
- Cedar Rapids OB-GYN Specialists, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.