County of Worth

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COUNTY OF WORTH

Doing business as

Worth County Public Health

Practice address

95 9TH St N
Northwood, IA 50459-1436

Phone

(641) 324-1741

Fax

(641) 324-2195

NPI assigned

Jun 17, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Johnson, BSN

Title

Administrator

Phone

(641) 324-1741

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Worth County Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295730042. Details of each certification follow.

• CCN 167043 Home health agency · Active · Details

Home health agency certification: CCN 167043

Legal name

COUNTY OF WORTH

Doing business as

WORTH COUNTY PUBLIC HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 28, 1970

Last certification

Jul 22, 2021

Ownership / control type

Government Operated

Organization structure

GovernmentNon-profit

Enrollment address

95 9TH St N
Northwood, IA 50459-1436

Listed as

Worth County PHNSCCN 167043 · All quality measures

Ownership

Government Operated

Certified

May 28, 1970

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Tax ID family

County of Worth3 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.

• County of Worth

  dba Worth County Public Health

  • Public Health or Welfare Agency
  • Northwood, IA
  • NPI 1629497318
  NPD tax ID
• Worth County Public Health

  • Public Health or Welfare Agency
  • Northwood, IA
  • NPI 1922426832
  NPD tax ID

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295730042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 9TH ST N",
            "city": "NORTHWOOD",
            "state": "IA",
            "postal_code": "504591436",
            "telephone_number": "641-324-1741",
            "fax_number": "641-324-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 9TH ST N",
            "city": "NORTHWOOD",
            "state": "IA",
            "postal_code": "504591436",
            "telephone_number": "641-324-1741",
            "fax_number": "641-324-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-324-1741",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670430",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "67043",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worth County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Worth (Worth County Public Health)
• Ty Dunse
• Helping Hands Home Care of Minnesota
• Benjamin Jorgensen, PHARMD, RPH
• Lutheran Retirement Home, Inc.

• Home Health Agency in Northwood, IA
• Providers in Northwood, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.