Organization Active NPI

First Vision Healthcare Services

  • In Home Supportive Care Agency
  • Ankeny, IA
National Provider Identifier
1376208520
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FIRST VISION HEALTHCARE SERVICES
Practice address
1932 SW 3Rd St Ste 4
Ankeny, IA 50023-2400
Phone
(515) 528-2466
Fax
(515) 528-2467
NPI assigned
Nov 3, 2021
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Hermina TandiaNPI 1871366468
Title
Care Coordinator
Phone
(641) 980-5031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1932 SW 3Rd St Ste 4
Ankeny, IA 50023-2400

Mailing address

1932 SW 3Rd St Ste 4
Ankeny, IA 50023-2400
Phone (515) 528-2466

Other identifiers 2

IdentifierTypeStateIssuer
CXJK7GX9BMedicaidIA
X000240027MedicaidIA

National Provider Directory

National Provider Directory

Locations

1932 SW 3rd St
Ste 4
Ankeny, IA 50023
Phone (515) 528-2466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1376208520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 SW 3RD ST STE 4",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232400",
            "telephone_number": "515-528-2466",
            "fax_number": "515-528-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 SW 3RD ST STE 4",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232400",
            "telephone_number": "515-528-2466",
            "fax_number": "515-528-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST VISION HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "TANDIA",
        "authorized_official_first_name": "HERMINA",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "641-980-5031"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CXJK7GX9B",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000240027",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.