Alta Moda Medical Services LC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ALTA MODA MEDICAL SERVICES LC

Doing business as

Alta Moda Home Healthcare LC

Practice address

708 J Ave NE Ste 200
Cedar Rapids, IA 52402-4520

Phone

(319) 365-1440

Fax

(319) 365-1429

NPI assigned

Dec 20, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Abdiaziz N Hajiabdirahman

Title

Manager

Phone

(319) 310-9128

Specialties & licenses 1

Addresses

Other names 1

• Alta Moda Home Healthcare LC Doing business as

Tax ID family

Alta Moda Home Healthcare LC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Alta Moda Medical Services LC

  • Non-emergency Medical Transport (VAN)
  • Cedar Rapids, IA
  • NPI 1093136780
  NPD tax ID

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1316368160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 6TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524042128",
            "telephone_number": "319-310-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 J AVE NE STE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024520",
            "telephone_number": "319-365-1440",
            "fax_number": "319-365-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA MODA MEDICAL SERVICES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "HAJIABDIRAHMAN",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-310-9128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Moda Home Healthcare LC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsy Marie Alons, M.D
• Justin Alpers
• Mohammad Ass'Ad Alshami, M.D
• Tracy A Alshouse, PAC
• Alta Moda Medical Services LC
• Vijay Aluri, MBBS
• Lilliana Alvarez-Gonzalez, BCBA
• Abdullah A. Alwahdani, MD
• Amenity Healthcare, LLC
• Amenity Healthcare, LLC

• In Home Supportive Care Agency in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• In Home Supportive Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.