Your Home Host Home Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

YOUR HOME HOST HOME SERVICES

Practice address

1983 Perry TRL
Woodbine, IA 51579-5078

Phone

(402) 981-8469

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Poehlman

Title

President

Phone

(402) 981-8469

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1699433862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 PERRY TRL",
            "city": "WOODBINE",
            "state": "IA",
            "postal_code": "515795078",
            "telephone_number": "402-981-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 PERRY TRL",
            "city": "WOODBINE",
            "state": "IA",
            "postal_code": "515795078",
            "telephone_number": "402-981-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOME HOST HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "POEHLMAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-981-8469"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Kennedy Sullivan
• Jacqueline Thomsen, D.C., D.I.C.C.P.
• Brittany Wensel
• Woodbine CSD
• Woodbine Fire and Rescue (Woodbine Rescue)

• In Home Supportive Care Agency in Woodbine, IA
• Providers in Woodbine, IA by specialty
• In Home Supportive Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.