Organization Active NPI

Partner Medical Home Care SC LLC

  • Durable Medical Equipment & Medical Supplies
  • Sioux City, IA
National Provider Identifier
1467850644
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PARTNER MEDICAL HOME CARE SC LLC
Doing business as
Partner Medical Home Care
Practice address
5710 Sunnybrook Dr
Sioux City, IA 51106-4249
Phone
(712) 252-0505
Fax
(866) 590-2137
NPI assigned
Dec 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Bradley D Severson
Title
President
Phone
(605) 275-0083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5710 Sunnybrook Dr
Sioux City, IA 51106-4249

Mailing address

3138 S Minnesota Ave
Sioux Falls, SD 57105-5649
Phone (605) 275-0083

Other names 1

  • Partner Medical Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

5710 Sunnybrook Dr
Sioux City, IA 51106
Phone (712) 252-0505

NPI Registry JSON

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1467850644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055649",
            "telephone_number": "605-275-0083",
            "fax_number": "866-590-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064249",
            "telephone_number": "712-252-0505",
            "fax_number": "866-590-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNER MEDICAL HOME CARE SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-20",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-275-0083"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partner Medical Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.