Organization Active NPI

Precision Ventures, LLC

  • In Home Supportive Care Agency
  • Des Moines, IA
National Provider Identifier
1588180244
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRECISION VENTURES, LLC
Doing business as
Golden Heart Senior Care
Practice address
2413 Boston Ave
Des Moines, IA 50310-6242
Phone
(515) 218-1534
Fax
(515) 218-1543
NPI assigned
Aug 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Lorri Ann Stegall
Title
Owner
Phone
(515) 218-1534

Specialties & licenses 1

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

Addresses

Primary practice location

2413 Boston Ave
Des Moines, IA 50310-6242

Mailing address

2413 Boston Ave
Des Moines, IA 50310-6242
Phone (515) 218-1534

Other identifiers 1

IdentifierTypeStateIssuer
X000709569MedicaidIA

Other names 1

  • Golden Heart 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": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588180244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 BOSTON AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503106242",
            "telephone_number": "515-218-1534",
            "fax_number": "515-218-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 BOSTON AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503106242",
            "telephone_number": "515-218-1534",
            "fax_number": "515-218-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STEGALL",
        "authorized_official_first_name": "LORRI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-218-1534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000709569",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Heart Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.