Organization Active NPI

Warren County

  • Home Delivered Meals
  • Indianola, IA
National Provider Identifier
1265638225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
License
0165878 Issued in IA
Legal business name
WARREN COUNTY
Practice address
301 N Buxton St Ste 202
Indianola, IA 50125-1801
Phone
(515) 961-1003
Fax
(515) 961-1013
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Leora F. Schurman
Title
Nutrition Project Manager
Phone
(515) 961-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X 0165878 IA Primary

Addresses

Primary practice location

301 N Buxton St Ste 202
Indianola, IA 50125-1801

Mailing address

301 N Buxton St Ste 202
Indianola, IA 50125-1801
Phone (515) 961-1003

Other identifiers 1

IdentifierTypeStateIssuer
0165878MedicaidIA

Other names 1

  • Warren County Nutrition Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Warren County Case Management3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 N Buxton St
Ste 202
Indianola, IA 50125
Phone (515) 961-1003

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265638225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N BUXTON ST STE 202",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501251801",
            "telephone_number": "515-961-1003",
            "fax_number": "515-961-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BUXTON ST STE 202",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501251801",
            "telephone_number": "515-961-1003",
            "fax_number": "515-961-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHURMAN",
        "authorized_official_first_name": "LEORA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "NUTRITION PROJECT MANAGER",
        "authorized_official_telephone_number": "515-961-1003",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "IA",
            "license": "0165878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165878",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren County Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianola, IA

Sources for this page

  • 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.