Individual provider Active NPI

Rhoderline Onwona-Agyeman

  • Home Health Registered Nurse
  • Polk City, IA
National Provider Identifier
1710623244
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
121979 Issued in IA
Practice address
3898 NW 102ND PL
Polk City, IA 50226-7548
Phone
(515) 314-6790
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 121979 IA Primary

Addresses

Primary practice location

3898 NW 102ND PL
Polk City, IA 50226-7548

Mailing address

3898 NW 102ND PL
Polk City, IA 50226-7548
Phone (515) 314-6790

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL guardiancareiowa.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121979IAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier at Home Care LLC CurrentSince Aug 28, 2022 Accepting new patients
Guardian Care of Iowa,Inc PastSince May 16, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1710623244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 NW 102ND PL",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502267548",
            "telephone_number": "515-314-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 NW 102ND PL",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502267548",
            "telephone_number": "515-314-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWONA-AGYEMAN",
        "first_name": "RHODERLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IA",
            "license": "121979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "guardiancareiowa.com",
            "affiliation": "N",
            "address_1": "3898 NW 102nd Pl",
            "city": "Polk City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502267548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Polk City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.