NPIMap

Organization Active NPI

Visiting Nurse Association of Johnson County

Doing business as Johnson County Visiting Nurse Association

  • Home Health Agency
  • Iowa City, IA
National Provider Identifier
1558361006
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VISITING NURSE ASSOCIATION OF JOHNSON COUNTY
Doing business as
Johnson County Visiting Nurse Association
Practice address
1524 Sycamore St
Iowa City, IA 52240-6021
Phone
(319) 337-9686
Fax
(319) 337-5566
NPI assigned
Jul 27, 2005
Last updated
Sep 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Suellen Novotny, RN, BS/BA, MHA
Title
Executive Director
Phone
(319) 337-9686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1524 Sycamore St
Iowa City, IA 52240-6021

Mailing address

1524 Sycamore St
Iowa City, IA 52240-6021
Phone (319) 337-9686

Other identifiers 2

IdentifierTypeStateIssuer
0670141MedicaidIA
67014OtherIABLUE CROSS

Other names 1

  • Johnson County Visiting Nurse Association Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020917000006 IA Part A Provider - Home Health Agency 3072420827 Practice locations: Iowa City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558361006. Details of each certification follow.

Home health agency certification: CCN 167014

Legal name
VISITING NURSE ASSOCIATION OF JOHNSON COUNTY
Doing business as
JOHNSON COUNTY VISITING NURSE ASSOCIATION
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 11, 1966
Last certification
Jul 30, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jul 29, 1949 in IA
Enrollment address
1524 Sycamore St
Iowa City, IA 52240-6021
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Johnson County Visiting Nurse AssociationCCN 167014 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jul 11, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Johnson County Visiting Nurse Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1524 Sycamore St
Iowa City, IA 52240
Phone (319) 337-9686

2953 Sierra Ct SW
Iowa City, IA 52240
Phone (319) 337-9686

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Iowa Care Community Inc Organization, Iowa City, IA Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 10, 2021 100%
Sara Caven Individual Corporate OfficerBoard Treasurer Apr 17, 2023
W-2 Managing EmployeeClinical Director Apr 17, 2023
Peter J Milder Individual W-2 Managing EmployeeController Dec 19, 2011
Renee Stribling Individual W-2 Managing EmployeeDirector of Finance Apr 1, 2024
Sara Krieger Individual Corporate OfficerBoard Chairman Jul 22, 2022
W-2 Managing EmployeeAd; May 10, 2021

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1558361006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 SYCAMORE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406021",
            "telephone_number": "319-337-9686",
            "fax_number": "319-337-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SYCAMORE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406021",
            "telephone_number": "319-337-9686",
            "fax_number": "319-337-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF JOHNSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "NOVOTNY",
        "authorized_official_first_name": "SUELLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-337-9686",
        "authorized_official_credential": "RN, BS/BA, MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670141",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "67014",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson County Visiting Nurse Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.