Carroll County Home Care Aide Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARROLL COUNTY HOME CARE AIDE SERVICE

Practice address

17436 Mahogany Avenue
Carroll, IA 51401-0966

Phone

(712) 792-9517

Fax

(712) 792-0254

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By 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

Dr. John Peters Evans, MDNPI 1700874054

Title

Chairman Carroll County Board of He

Phone

(712) 792-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Carroll County Case Management3 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.

• Carroll County Case Management

  • Case Management Agency
  • Carroll, IA
  • NPI 1073660163
  NPD tax ID
• Carroll County County Auditor

  • Ambulance
  • Carroll, IA
  • NPI 1598770455
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Peters Evans, MD

  • Family Medicine Physician
  • Carroll, IA
  • NPI 1700874054
  Authorized official Same address or phone

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700910866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514010966",
            "telephone_number": "712-792-9517",
            "fax_number": "712-792-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17436 MAHOGANY AVENUE",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514010966",
            "telephone_number": "712-792-9517",
            "fax_number": "712-792-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL COUNTY HOME CARE AIDE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETERS",
        "authorized_official_title_or_position": "CHAIRMAN CARROLL COUNTY BOARD OF HE",
        "authorized_official_telephone_number": "712-792-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138875",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carroll Chiropractic, Inc. (Carroll's Chiropractor)
• Carroll Co Council Prev Child Abuse (Family Resource Center)
• Carroll Community School District
• Carroll County Case Management
• Carroll County County Auditor
• Carroll Dental Clinic P.L.C. (Lake View Family Dentistry & Manilla Family Dentistry)
• Carroll Eye Care Associates PC (Carroll Eye Care Associates)
• Carroll Eye Clinic PC
• Carroll Family Chiropractic Center
• Andrea Carrothers

• Home Health Agency in Carroll, IA
• Providers in Carroll, IA by specialty
• Home Health Agency in Iowa

• 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.