American Gothic Home Care
Organization Active NPI Home Health Agency · Eldon, IA
NPI 1689889164 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1689889164
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 0217950 (IA)
- Legal business name
- AMERICAN GOTHIC HOME CARE
- Practice address
- 500 Church St
Eldon, IA 52554 - Phone
- (641) 652-3400
- NPI assigned
- May 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Virginia Gayle Hindsley
- Title
- Administrator
- Phone
- (641) 652-3400
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0217950 | IA | Yes |
Addresses
Primary practice location
500 Church St
Eldon, IA 52554
Mailing address
500 Church Street
PO Box 397
Eldon, IA 52554
Other providers in Eldon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.