NPIMap

Organization Active NPI

Mercy Health Services-Iowa, Corp

Doing business as Mercy Home Healthcare Dubuque

  • Home Health Agency
  • Dubuque, IA
National Provider Identifier
1417982497
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010100 Issued in IL
Legal business name
MERCY HEALTH SERVICES-IOWA, CORP
Doing business as
Mercy Home Healthcare Dubuque
Practice address
250 Mercy Dr
Dubuque, IA 52001-7320
Phone
(563) 589-8899
Fax
(563) 589-9122
NPI assigned
Jul 11, 2006
Organization subpart
Yes
Parent organization
MERCY HEALTH SERVICES- IOWA, CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Timothy T Shinbori
Title
Executive Director
Phone
(563) 244-3766

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010100 IL Primary
Home Health Agency 251E00000X 197 WI

Addresses

Primary practice location

250 Mercy Dr
Dubuque, IA 52001-7320

Mailing address

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8899

Other identifiers 1

IdentifierTypeStateIssuer
0671537MedicaidIA

Other names 1

  • Mercy Home Healthcare Dubuque Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy Health SVCS-Iowa Corp

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1417982497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017320",
            "telephone_number": "563-589-8899",
            "fax_number": "563-589-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017320",
            "telephone_number": "563-589-8899",
            "fax_number": "563-589-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES-IOWA, CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH SERVICES- IOWA, CORP.",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SHINBORI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-244-3766"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010100",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671537",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Healthcare Dubuque",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

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