Active NPI
Health Assured Home Care, LLC
- Home Health Aide
- Waterloo, IA
National Provider Identifier
1255153367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- HEALTH ASSURED HOME CARE, LLC
- Practice address
- 3417 Quigby Rd
Waterloo, IA 50701-9132 - Phone
- (319) 231-2856
- NPI assigned
- Oct 29, 2024
- Last updated
- Nov 5, 2024
- 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
- Dano Gakovic, CAREGIVER
- Title
- Owner
- Phone
- (319) 231-2856
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Chore Provider | 372500000X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | |||
| Respite Care | 385H00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Meals Provider | 174200000X |
Addresses
Primary practice location
3417 Quigby Rd
Waterloo, IA 50701-9132
Mailing address
3417 Quigby Rd
Waterloo, IA 50701-9132
Phone (319) 231-2856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X000748426 | Medicaid | IA |
Other names 1
- Health Assured Home Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Aide
- Waterloo, IA
- NPI 1063234185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1255153367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 QUIGBY RD",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507019132",
"telephone_number": "319-231-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 QUIGBY RD",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507019132",
"telephone_number": "319-231-2856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH ASSURED HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-29",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "GAKOVIC",
"authorized_official_first_name": "DANO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-231-2856",
"authorized_official_credential": "CAREGIVER"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "X000748426",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Assured Home Care",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.