Active NPI
Hawkeye Valley Area Agency on Aging
- Case Management Agency
- Waterloo, IA
National Provider Identifier
1285846030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- HAWKEYE VALLEY AREA AGENCY ON AGING
- Practice address
- 2101 Kimball Ave
Suite 320
Waterloo, IA 50702-5063 - Phone
- (319) 272-2244
- Fax
- (319) 272-2455
- NPI assigned
- May 4, 2007
- 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
- Judith Shafer
- Title
- Finance Manager
- Phone
- (319) 272-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
2101 Kimball Ave
Suite 320
Waterloo, IA 50702-5063
Mailing address
2101 Kimball Ave
Suite 320
Waterloo, IA 50702-5063
Phone (319) 272-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107367 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
2101 Kimball Ave
Ste 320
Waterloo, IA 50702
Phone (319) 272-2244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285846030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 KIMBALL AVE",
"address_2": "SUITE 320",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025063",
"telephone_number": "319-272-2244",
"fax_number": "319-272-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 KIMBALL AVE",
"address_2": "SUITE 320",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025063",
"telephone_number": "319-272-2244",
"fax_number": "319-272-2455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWKEYE VALLEY AREA AGENCY ON AGING",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHAFER",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "FINANCE MANAGER",
"authorized_official_telephone_number": "319-272-2244"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0107367",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, 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.