NPIMap

Organization Active NPI

Caprock Inc

  • In Home Supportive Care Agency
  • Bettendorf, IA
National Provider Identifier
1457715351
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000179 Issued in IL
Legal business name
CAPROCK INC
Practice address
1977 Spruce Hills Dr
Bettendorf, IA 52722-2624
Phone
(563) 359-0027
Fax
(563) 359-0526
NPI assigned
Apr 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Mr. Steve Habenicht
Title
Owner
Phone
(563) 359-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000179 IL Primary

Addresses

Primary practice location

1977 Spruce Hills Dr
Bettendorf, IA 52722-2624

Mailing address

1977 Spruce Hills Dr
Bettendorf, IA 52722-2624
Phone (563) 359-0027

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1457715351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 SPRUCE HILLS DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222624",
            "telephone_number": "563-359-0027",
            "fax_number": "563-359-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 SPRUCE HILLS DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222624",
            "telephone_number": "563-359-0027",
            "fax_number": "563-359-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPROCK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "HABENICHT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-359-0027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.