Organization Active NPI

Cedar Rapids Ia Home Care LLC

  • In Home Supportive Care Agency
  • Cedar Rapids, IA
National Provider Identifier
1235643941
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.