Organization Active NPI

Iowa Hospice, LLC

  • Pain Clinic/Center
  • Johnston, IA
National Provider Identifier
1659510212
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
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, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
VOYAGER HOSPICECARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2009

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Pain Clinic/Center 261QP3300X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.