Webster Care Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

400756 Issued in IA

Legal business name

WEBSTER CARE CORPORATION

Practice address

2416 Des Moines St
Webster City, IA 50595-3049

Phone

(515) 832-3881

Fax

(515) 832-3241

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Roberts

Title

Cfo

Phone

(641) 456-5636

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Southfield Wellness Community Doing business as

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1568464246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 4TH ST NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411104",
            "telephone_number": "641-456-5636",
            "fax_number": "641-456-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 DES MOINES ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505953049",
            "telephone_number": "515-832-3881",
            "fax_number": "515-832-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-456-5636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "400756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0733931",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804567",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "65411",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southfield Wellness Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinity Regional Medical Center
• Shawn Tulp, CRNA
• Tanya Laureen Underwood, LMFT
• Jordan Jay Wagner, PHARMD
• Webster Care Corporation
• Webster City Community School District
• Webster City Ia Assisted Living LLC
• Webster City Ia Skilled Nursing Facility, LLC
• Webster City Ia Skilled Nursing Facility, LLC
• Webster City Medical Services PC

• Skilled Nursing Facility in Webster City, IA
• Providers in Webster City, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.