NPIMap

Organization Active NPI

Page Home Care

  • Home Health Agency
  • Clarinda, IA
National Provider Identifier
1679570667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PAGE HOME CARE
Practice address
822 S 17TH St
Clarinda, IA 51632-2624
Phone
(712) 542-3936
Fax
(712) 542-2066
NPI assigned
Jul 5, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Keith Heuser
Title
Ceo
Phone
(712) 542-2176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

822 S 17TH St
Clarinda, IA 51632-2624

Mailing address

822 S 17TH St
Clarinda, IA 51632-2624
Phone (712) 542-3936

Other identifiers 1

IdentifierTypeStateIssuer
0671008MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Villisca Family Health Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

822 S 17th St
Clarinda, IA 51632
Phone (712) 542-0702

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679570667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S 17TH ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322624",
            "telephone_number": "712-542-3936",
            "fax_number": "712-542-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S 17TH ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322624",
            "telephone_number": "712-542-3936",
            "fax_number": "712-542-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEUSER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-542-2176",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671008",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.