NPIMap

Organization Active NPI

County of Butler

Doing business as Butler County Public Health

  • Home Health Agency
  • Allison, IA
National Provider Identifier
1669416764
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNTY OF BUTLER
Doing business as
Butler County Public Health
Practice address
428 6TH Street, Box 325
Allison, IA 50602
Phone
(319) 267-2934
Fax
(319) 267-2113
NPI assigned
Jun 16, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Jennifer Becker, R.N., B.S.N.
Title
Agency Director
Phone
(319) 267-2934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

428 6TH Street, Box 325
Allison, IA 50602

Mailing address

428 6TH Street, Box 325
Allison, IA 50602
Phone (319) 267-2934

Other identifiers 1

IdentifierTypeStateIssuer
67095MedicaidIA

Other names 1

  • Butler County Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601001222 IA Part A Provider - Home Health Agency 9133101595 Practice locations: Allison, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669416764. Details of each certification follow.

Home health agency certification: CCN 167095

Legal name
COUNTY OF BUTLER
Doing business as
BUTLER COUNTY PUBLIC HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 1, 1978
Last certification
Oct 7, 2020
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Incorporated
Jan 1, 1977 in IA
Enrollment address
610 Oak St
Allison, IA 50602-7602

Care Compare: Home health agency

Medicare Care Compare
Listed as
Butler County PHNSCCN 167095 · All quality measures
Overall star rating
2 of 5
Ownership
Government Operated
Certified
Jun 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Butler County Public Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

610 Oak St
Allison, IA 50602
Phone (319) 267-2934

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Jennifer L Becker Individual Corporate DirectorAgency Director Jun 11, 2008
W-2 Managing EmployeeAgency Director Mar 7, 2008
County of Butler Organization, Allison, IA Other Jan 1, 1977 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1669416764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 6TH STREET, BOX 325",
            "city": "ALLISON",
            "state": "IA",
            "postal_code": "50602",
            "telephone_number": "319-267-2934",
            "fax_number": "319-267-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 6TH STREET, BOX 325",
            "city": "ALLISON",
            "state": "IA",
            "postal_code": "50602",
            "telephone_number": "319-267-2934",
            "fax_number": "319-267-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BUTLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "319-267-2934",
        "authorized_official_credential": "R.N., B.S.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67095",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butler County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allison, IA

Sources for this page

Verify at the official NPI Registry.