NPIMap

Organization Active NPI

County of Chickasaw

  • Home Health Agency
  • New Hampton, IA
National Provider Identifier
1962584409
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNTY OF CHICKASAW
Practice address
260 E Prospect St
New Hampton, IA 50659-1429
Phone
(641) 394-4053
Fax
(641) 394-5814
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Kathy Babcock
Title
Administrator
Phone
(641) 394-4053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IA Primary

Addresses

Primary practice location

260 E Prospect St
New Hampton, IA 50659-1429

Mailing address

260 E Prospect St
PO Box 355
New Hampton, IA 50659-1429
Phone (641) 394-4053

Other identifiers 2

IdentifierTypeStateIssuer
0670760MedicaidIA
67076OtherIABLUE CROSS BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100407000270 IA Part A Provider - Home Health Agency 3476689001 Practice locations: New Hampton, IA

Home health agency certification: CCN 167076

Legal name
COUNTY OF CHICKASAW
Doing business as
CHICKASAW COUNTY PUBLIC HEALTH AND HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 10, 1975
Last certification
Oct 3, 2019
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Enrollment address
260 E Prospect St
New Hampton, IA 50659-1429

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Chickasaw Co Public Health & Home Care ServicesCCN 167076
Overall star rating
2 of 5
Ownership
Government Operated
Certified
Sep 10, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
County of Chickasaw4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lucas J Brinkman Individual Corporate DirectorBoard of Health Member- Medical DTR Jan 1, 2023
County of Chickasaw Organization, New Hampton, IA Non-profit 5% Or Greater Direct Ownership Interest Oct 3, 1975 100%
5% Or Greater Security Interest Oct 3, 1975 100%
Joan Knoll Individual Corporate DirectorBoard of Health Member Jan 1, 2021
Lisa M Welter Individual W-2 Managing EmployeeAssistant Administrator/Manager Apr 1, 2017
Toni Friedrich Individual Corporate DirectorBoard Member Jan 1, 2020
Jeremy McGrath Individual Corporate DirectorBoard of Health Member Jan 1, 2022
Cindy Shoemaker Individual Corporate DirectorBoard Member/Secretary Jan 1, 2017

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1962584409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E PROSPECT ST",
            "address_2": "PO BOX 355",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506591429",
            "telephone_number": "641-394-4053",
            "fax_number": "641-394-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E PROSPECT ST",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506591429",
            "telephone_number": "641-394-4053",
            "fax_number": "641-394-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHICKASAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-394-4053"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670760",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "67076",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hampton, IA

Sources for this page

Verify at the official NPI Registry.