Organization Active NPI

Auberon Skilled LLC

  • Home Health Agency
  • Urbandale, IA
National Provider Identifier
1679221014
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AUBERON SKILLED LLC
Practice address
2455 106TH St
Urbandale, IA 50322-3701
Phone
(515) 444-4969
NPI assigned
Mar 15, 2022
Organization subpart
Yes
Parent organization
AUBERON INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Dr. John W Hancock, DRBA
Title
Founder & Ceo
Phone
(515) 444-4969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2455 106TH St
Urbandale, IA 50322-3701

Mailing address

2455 106TH St
Urbandale, IA 50322-3701
Phone (515) 444-4969

Other names 1

  • Interim HealthCare Home Health of West Des Moines Doing business as

National Provider Directory

National Provider Directory
Part of
Auberon Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1679221014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 106TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223701",
            "telephone_number": "515-444-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 106TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223701",
            "telephone_number": "515-444-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBERON SKILLED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUBERON INC",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "515-444-4969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare Home Health of West Des Moines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.