Home Health With Heart, LLC
Organization Active NPI Home Health Agency · Cedar Rapids, IA
NPI 1265286207 · NPPES record last updated Apr 5, 2025
Key facts
- NPI
- 1265286207
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- HOME HEALTH WITH HEART, LLC
- Practice address
- 2616 1St Ave NE
Cedar Rapids, IA 52402-4945 - Phone
- (319) 826-6608
- Fax
- (319) 826-6611
- NPI assigned
- Apr 16, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stephanie Humphries, MPT
- Title
- Owner
- Phone
- (319) 389-9350
Affiliated clinicians 1
-
Nancy Ann Boelter, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Home Health With Heart LLC
- Ownership
- -
- Certified
- Dec 13, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2329380 | Home Health With Heart, LLC | Certificate of waiver | Aug 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Home health agency certification: CCN 167443
- Legal name
- HOME HEALTH WITH HEART LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 13, 2024
- Last certification
- Nov 27, 2024
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 16, 2024 in IA
- Enrollment address
- 2616 1St Ave NE
Cedar Rapids, IA 52402-4945
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Stephanie Humphries |
5% Or Greater Direct Ownership Interest | Apr 16, 2024 | 100% |
| Corporate Officer |
Apr 16, 2024 | ||
| Corporate Director |
Apr 16, 2024 | ||
| Operational/Managerial Control |
Apr 16, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240926003672 | IA | Part a Provider - Home Health Agency | 0840721148 | Practice locations: Cedar Rapids, IA |
National Provider Directory
Locations
3731 Pheasant Ln
Waterloo, IA 50701
Phone (319) 260-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
2616 1St Ave NE
Cedar Rapids, IA 52402-4945
Mailing address
7201 Summerland Ridge Rd NE
Cedar Rapids, IA 52402-7214
Phone (319) 389-9350
Other practice location 1
3731 Pheasant Ln
Waterloo, IA 50701-5215
Phone (319) 260-2222
NPI Registry JSON
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743811200000",
"number": "1265286207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 SUMMERLAND RIDGE RD NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524027214",
"telephone_number": "319-389-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524024945",
"telephone_number": "319-826-6608",
"fax_number": "319-826-6611"
}
],
"practiceLocations": [
{
"address_1": "3731 Pheasant Ln",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507015215",
"country_code": "US",
"telephone_number": "319-260-2222",
"fax_number": "319-260-2221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOME HEALTH WITH HEART, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-16",
"last_updated": "2025-04-05",
"certification_date": "2025-04-05",
"status": "A",
"authorized_official_last_name": "HUMPHRIES",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-389-9350",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
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- Nathan Matthew Holmes
- Kathy M Holscher
- Marissa Lynn Holub
- Suzanne Kay Holub
- Home Medical Equipment
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- Arnold B. Honick
All providers in Cedar Rapids, IA · Home Health Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.