Organization Active NPI

Embrace LLC

  • In Home Supportive Care Agency
  • Glenwood, IA
National Provider Identifier
1710282488
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMBRACE LLC
Practice address
502 Sharp St
Glenwood, IA 51534-1731
Phone
(712) 527-5747
Fax
(712) 527-2091
NPI assigned
Jan 11, 2011
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Ms. Julie Kalambokidis, MFCS, LBSW
Title
Executive Director
Phone
(712) 527-5747

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Respite Care 385H00000X
Respite Care Camp 385HR2050X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

502 Sharp St
Glenwood, IA 51534-1731

Mailing address

502 Sharp St
Glenwood, IA 51534-1731
Phone (712) 527-5747

Other identifiers 2

IdentifierTypeStateIssuer
X000104085OtherIAIA NPI ASSIGNED NUMBER FOR REMEDIAL SERVICES
X000203108OtherIAIA MEDICAID HCBS SERVICES

National Provider Directory

National Provider Directory

Locations

502 Sharp St
Glenwood, IA 51534
Phone (712) 527-5747

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1710282488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SHARP ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341731",
            "telephone_number": "712-527-5747",
            "fax_number": "712-527-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SHARP ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341731",
            "telephone_number": "712-527-5747",
            "fax_number": "712-527-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "KALAMBOKIDIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-527-5747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFCS, LBSW"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA NPI ASSIGNED NUMBER FOR REMEDIAL SERVICES",
            "identifier": "X000104085",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA MEDICAID HCBS SERVICES",
            "identifier": "X000203108",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.