Iowa Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IOWA HOME CARE, LLC

Practice address

2500 University Ave
West Des Moines, IA 50266-1420

Phone

(515) 222-2285

Fax

(515) 222-9985

NPI assigned

Sep 30, 2005

Last updated

May 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kim Weber, R.N.

Title

Administrator

Phone

(515) 222-9995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1639166093. Details of each certification follow.

• CCN 167288 Home health agency · Active · Details
• CCN 167320 Home health agency · Active · Details

Home health agency certification: CCN 167288

Legal name

IOWA HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 26, 2004

Last certification

Oct 28, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Mar 29, 2004 in IA

Enrollment address

104 W Southridge Rd
Marshalltown, IA 50158-5139
HHA Branch

Home health agency certification: CCN 167320

Legal name

IOWA HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 21, 2010

Last certification

Jun 16, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 15, 2004 in IA

Enrollment address

644 1St St
Ste 1
Webster City, IA 50595-2233

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Iowa Home Care LLC

  • Home Health Agency
  • Fort Dodge, IA
  • NPI 1972807170

  8325020779

  Same PAC ID
• Iowa Home Care LLC

  • Home Health Agency
  • Ottumwa, IA
  • NPI 1972885721

  8325020779

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Iowa Home Care LLC

  • Home Health Agency
  • Fort Dodge, IA
  • NPI 1972807170

  O20100209000506

  Same enrollment

Listed as

Iowa Home Care, L L CCCN 167288 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Aug 26, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Listed as

Iowa Home Care, L L CCCN 167320 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jul 21, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 4

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

• Lynne Janine Desotel, MD

  • Family Medicine Physician
  • Marshalltown, IA
  • NPI 1568545960

  Home health agency

  Care Compare affiliation
• Laura Ellen Lasack, MD

  • Family Medicine Physician
  • Marshalltown, IA
  • NPI 1861468084

  Home health agency

  Care Compare affiliation
• Joseph Clair Pollpeter, M.D.

  • Family Medicine Physician
  • Marshalltown, IA
  • NPI 1700877164

  Home health agency

  Care Compare affiliation
• Candice N Smith, MD

  • Family Medicine Physician
  • Indianola, IA
  • NPI 1144202730

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1639166093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 UNIVERSITY AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661420",
            "telephone_number": "515-222-2285",
            "fax_number": "515-222-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 UNIVERSITY AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661420",
            "telephone_number": "515-222-2285",
            "fax_number": "515-222-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-222-9995",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.