Active NPI
Iowa Hospice, LLC
- Pain Clinic/Center
- Johnston, IA
National Provider Identifier
1659510212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- IOWA HOSPICE, LLC
- Practice address
- 5650 NW Johnston Dr Ste E
Johnston, IA 50131-1375 - Phone
- (515) 276-6696
- Fax
- (817) 731-3529
- NPI assigned
- Feb 5, 2009
- Last updated
- May 13, 2009
- Organization subpart
- Yes
- Parent organization
- VOYAGER HOSPICECARE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Posey
- Title
- Cfo
- Phone
- (817) 551-0355
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | |||
| Pain Clinic/Center | 261QP3300X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
5650 NW Johnston Dr Ste E
Johnston, IA 50131-1375
Mailing address
5650 NW Johnston Dr Ste E
Johnston, IA 50131-1375
Phone (515) 276-6696
National Provider Directory
National Provider Directory- Part of
- Voyager Hospice Care Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Gentiva
- Community Based Hospice Care Agency
- Panora, IA
- NPI 1821075201
Member Of
Locations
5650 NW Johnston Dr
Ste E
Johnston, IA 50131
Phone (515) 276-6696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1659510212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5650 NW JOHNSTON DR STE E",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311375",
"telephone_number": "515-276-6696",
"fax_number": "817-731-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 NW JOHNSTON DR STE E",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311375",
"telephone_number": "515-276-6696",
"fax_number": "817-731-3529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOWA HOSPICE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VOYAGER HOSPICECARE, INC",
"enumeration_date": "2009-02-05",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "POSEY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "817-551-0355"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.