St Declan Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ST DECLAN HOME CARE

Practice address

6070 Woodbridge CRST
Marion, IA 52302-9551

Phone

(515) 661-0262

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Anna ShudzekaNPI 1730514415

Title

Administrator

Phone

(515) 661-0262

Specialties & licenses 1

Addresses

Tax ID family

St Declan Home Care2 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.

• St Declan Home Care

  • Home Health Agency
  • Marion, IA
  • NPI 1770360703
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Shudzeka, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Rapids, IA
  • NPI 1730514415
  NPD Authorized official

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1366209165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 WOODBRIDGE CRST",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523029551",
            "telephone_number": "319-435-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 WOODBRIDGE CRST",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523029551",
            "telephone_number": "515-661-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST DECLAN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "SHUDZEKA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-661-0262"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Jean Simmen
• Sonia Slevinski, MSCP, LMHC, NCC
• Amanda Smith, PHARM D
• Chelsie Marie Snyder, D.P.M.
• Spectrum Therapy LLC
• St Declan Home Care
• Susan K Stannard, LISW
• Audra Steil
• Larae Gail Stemmerman, D.O.
• Emily Rachel Stone, DPT

• In Home Supportive Care Agency in Marion, IA
• Providers in Marion, 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 Feb 28, 2024; 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.