Organization Active NPI

Hawkeye Valley Area Agency on Aging

  • Case Management Agency
  • Waterloo, IA
National Provider Identifier
1285846030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

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
Judith Shafer
Title
Finance Manager
Phone
(319) 272-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0107367MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.