Actively Supporting Individuals With Challenges

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ACTIVELY SUPPORTING INDIVIDUALS WITH CHALLENGES

Practice address

301 Scott St
Griswold, IA 51535-2044

Phone

(402) 917-5163

NPI assigned

Jul 12, 2011

Last updated

Jul 12, 2011By 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

Derik L Shields

Title

Owner

Phone

(402) 917-5163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1790073625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SCOTT ST",
            "city": "GRISWOLD",
            "state": "IA",
            "postal_code": "515352044",
            "telephone_number": "402-917-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SCOTT ST",
            "city": "GRISWOLD",
            "state": "IA",
            "postal_code": "515352044",
            "telephone_number": "402-917-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVELY SUPPORTING INDIVIDUALS WITH CHALLENGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-917-5163"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anew Healthcare Operations - Griswold LLC
• City of Griswold (Griswold Fire and Rescue)
• Griswold Care Center Inc.
• Griswold Community School District
• Alyx Jorgensen, PT

• In Home Supportive Care Agency in Griswold, IA
• Providers in Griswold, 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 Jul 12, 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.