Active NPI
Her Support LLC
- Social Worker
- West Des Moines, IA
National Provider Identifier
1245795863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- HER SUPPORT LLC
- Practice address
- 5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-5351 - Phone
- (515) 322-7986
- NPI assigned
- Feb 7, 2019
- 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
- Denise Edwards
- Title
- Owner
- Phone
- (630) 405-9336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-5351
Mailing address
5465 Mills Civic Pkwy Ste 3319
West Des Moines, IA 50266-5318
Phone (515) 322-7986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104100000X | Other | IA | TAXONOMY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
318 5th St
West Des Moines, IA 50265
Phone (515) 222-3660
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- West Des Moines, IA
- NPI 1730615881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603843200000",
"number": "1245795863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5465 MILLS CIVIC PKWY STE 3319",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502665318",
"telephone_number": "515-322-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 WILD ROSE LN STE 400",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502665351",
"telephone_number": "515-322-7986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HER SUPPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-07",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-405-9336"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "104100000X",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.