The Visiting Nurse Association of Pottawattamie County, Iowa

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY, IOWA

Doing business as

VNA of Pottawattamie County

Practice address

300 W Broadway
Suite 10
Council Bluffs, IA 51503-9045

Phone

(712) 328-2636

Fax

(712) 328-0839

NPI assigned

Jul 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lillian Jeppesen

Title

Executive Director

Phone

(712) 328-2636

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• VNA of Pottawattamie County Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265455190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 10",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039045",
            "telephone_number": "712-328-2636",
            "fax_number": "712-328-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 10",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039045",
            "telephone_number": "712-328-2636",
            "fax_number": "712-328-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY, IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEPPESEN",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-328-2636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ENHANCED",
            "identifier": "0051433",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6000006",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "67001",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670018",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID EPSDT",
            "identifier": "0088831",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "87146",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F680",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA of Pottawattamie County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arianna Thacker, LPN
• The Collaborative Adult Relationship Experiences Group, LLC
• The Inroads Foundation
• The Phoenix Group, LLC
• The Rose of Council Bluffs, L.P.
• The Visiting Nurse Association of Pottawattamie County, Iowa
• The Well Mind, PLLC
• The Willow Group, P.C.
• Therapyworks, Inc.
• Thomas J. Orth, D.C.P.C.

• Home Health Agency in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.