NPIMap

Organization Active NPI

Homelink Aetna Georgia

Doing business as Homelink

  • Durable Medical Equipment & Medical Supplies
  • Waterloo, IA
National Provider Identifier
1376241398
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOMELINK AETNA GEORGIA
Doing business as
Homelink
Practice address
1111 W San Marnan Dr
Waterloo, IA 50701-8927
Phone
(800) 642-6065
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
VGM GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
David Harberts
Title
VP, Compliance & Accreditation
Phone
(855) 875-6140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1111 W San Marnan Dr
Waterloo, IA 50701-8927

Mailing address

PO Box 1860
Waterloo, IA 50704-1860

Other names 1

  • HOMELINK Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Homelink Allina11 organizations share this tax ID, including this one
Part of
Homelink Allina

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1376241398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1860",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507041860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W SAN MARNAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507018927",
            "telephone_number": "800-642-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELINK AETNA GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VGM GROUP, INC.",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "HARBERTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP, COMPLIANCE & ACCREDITATION",
        "authorized_official_telephone_number": "855-875-6140"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMELINK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.