Organization Active NPI

Marian Homecare

  • In Home Supportive Care Agency
  • Urbandale, IA
National Provider Identifier
1316316615
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARIAN HOMECARE
Practice address
12026 Ridgemont Dr
Urbandale, IA 50323-2317
Phone
(515) 221-9155
Fax
(515) 221-9157
NPI assigned
Sep 17, 2015
Organization subpart
Yes
Parent organization
A GREAT LOVE COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Thomas J Moreland, MHSA, CHCE, KMOB
Title
Ceo
Phone
(515) 221-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12026 Ridgemont Dr
Urbandale, IA 50323-2317

Mailing address

12026 Ridgemont Dr
Urbandale, IA 50323-2317
Phone (515) 221-9155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1316316615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12026 RIDGEMONT DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232317",
            "telephone_number": "515-221-9155",
            "fax_number": "515-221-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12026 RIDGEMONT DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232317",
            "telephone_number": "515-221-9155",
            "fax_number": "515-221-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HOMECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A GREAT LOVE COMPANY",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-221-9155",
        "authorized_official_credential": "MHSA, CHCE, KMOB"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.