Rural Health Care Advantage, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0615740 Issued in IA

Legal business name

RURAL HEALTH CARE ADVANTAGE, INC

Practice address

130 N Grand St
Chariton, IA 50049-1801

Phone

(641) 774-4090

Fax

(641) 774-8657

NPI assigned

Jan 11, 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

Mrs. Samantha M Schumann

Title

Asst. Business Manager

Phone

(641) 774-4090

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881744977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N GRAND ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491801",
            "telephone_number": "641-774-4090",
            "fax_number": "641-774-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N GRAND ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491801",
            "telephone_number": "641-774-4090",
            "fax_number": "641-774-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CARE ADVANTAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHUMANN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASST. BUSINESS MANAGER",
        "authorized_official_telephone_number": "641-774-4090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": "161558",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": "0615740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615740",
            "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 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.