Homechoice Senior Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOMECHOICE SENIOR CARE

Practice address

5340 N Park PL NE
Ste 202
Cedar Rapids, IA 52402-6235

Phone

(319) 363-2721

Fax

(319) 378-0334

NPI assigned

Jul 23, 2015

Organization subpart

No

Name

Koleene K Herlocker

Title

Executive Director

Phone

(319) 363-2721

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2015.

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1851776504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 N PARK PL NE",
            "address_2": "STE 202",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026235",
            "telephone_number": "319-363-2721",
            "fax_number": "319-378-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N PARK PL NE",
            "address_2": "STE 202",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026235",
            "telephone_number": "319-363-2721",
            "fax_number": "319-378-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECHOICE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "HERLOCKER",
        "authorized_official_first_name": "KOLEENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-363-2721"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000702559",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.