Organization Active NPI

Advantages in Life Inc

  • In Home Supportive Care Agency
  • Waukee, IA
National Provider Identifier
1407138084
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADVANTAGES IN LIFE INC
Practice address
670 Elm
Waukee, IA 50263
Phone
(515) 987-9826
Fax
(515) 987-9916
NPI assigned
Sep 9, 2011
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Christina Ferm
Title
Owner
Phone
(515) 987-9826

Specialties & licenses 1

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

Addresses

Primary practice location

670 Elm
Waukee, IA 50263

Mailing address

PO Box 220
Waukee, IA 50263-0220
Phone (515) 987-9826

Other identifiers 1

IdentifierTypeStateIssuer
0704250MedicaidIA

National Provider Directory

National Provider Directory

Locations

670 Elm St
Waukee, IA 50263
Phone (515) 987-9826

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1407138084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502630220",
            "telephone_number": "515-987-9826",
            "fax_number": "515-987-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 ELM",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "50263",
            "telephone_number": "515-987-9826",
            "fax_number": "515-987-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGES IN LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "FERM",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-987-9826"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0704250",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.