NPIMap

Organization Active NPI

Unitypoint at Home

  • Durable Medical Equipment & Medical Supplies
  • Moline, IL
National Provider Identifier
1952817181
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNITYPOINT AT HOME
Practice address
106 19TH Ave Ste 102
Moline, IL 61265-3700
Phone
(609) 779-4663
Fax
(309) 779-5638
NPI assigned
Dec 26, 2017
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITYPOINT AT HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Marissa A Smith
Title
VP/Chief Compliance Officer
Phone
(515) 557-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

106 19TH Ave Ste 102
Moline, IL 61265-3700

Mailing address

1776 W Lakes Pkwy Ste 400
West Des Moines, IA 50266-8378
Phone (515) 557-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180530003255 IL DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 3678484615 Practice locations: Moline, IL

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Unitypoint at Home106 19TH Ave, Moline, IL 61265-3700(309) 779-4663 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Suppl… Does not accept assignmentParticipating since Jan 1, 2008

National Provider Directory

National Provider Directory
Tax ID family
Unitypoint at Home25 organizations share this tax ID, including this one
Part of
Unitypoint at Home

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unitypoint at Home-DubuqueDubuque, IA, CCN 167002 Home health agency Operational/Managerial Control (90%) Mar 20, 1998
Unitypoint at HomeUrbandale, IA, CCN 167148A Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint at HomeMoline, IL, CCN 147009 Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint at HomeWaterloo, IA, CCN 167147 Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint at HomeStorm Lake, IA, CCN 167180 Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint at HomeCedar Rapids, IA, CCN 167005 Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint HospiceUrbandale, IA, CCN 161554A Hospice Operational/Managerial Control Mar 20, 1998
Unitypoint HospiceFort Dodge, IA, CCN 161549 Hospice Operational/Managerial Control Mar 20, 1998
Unitypoint HospiceMoline, IL, CCN 141583 Hospice Operational/Managerial Control Mar 20, 1998
Unitypoint HospiceWaterloo, IA, CCN 161598 Hospice Operational/Managerial Control Mar 20, 1998
Unitypoint HospiceCedar Rapids, IA, CCN 161516 Hospice Operational/Managerial Control Mar 20, 1998

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1952817181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 W LAKES PKWY STE 400",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668378",
            "telephone_number": "515-557-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 19TH AVE STE 102",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653700",
            "telephone_number": "609-779-4663",
            "fax_number": "309-779-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITYPOINT AT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITYPOINT AT HOME",
        "enumeration_date": "2017-12-26",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP/CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "515-557-3100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.