Diercks Senior Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIERCKS SENIOR CARE LLC

Doing business as

Home Instead Senior Care

Practice address

1844 W Ridgeway Ave
Waterloo, IA 50701-4546

Phone

(319) 235-5999

Fax

(319) 234-1794

NPI assigned

Mar 28, 2016

Last updated

Sep 28, 2016By 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

Kevin L Diercks

Title

Co-Owner

Phone

(319) 235-5999

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Instead Senior Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candace Lee Diercks

  • Homemaker
  • Waterloo, IA
  • NPI 1497026512
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1962864926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014546",
            "telephone_number": "319-235-5999",
            "fax_number": "319-234-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014546",
            "telephone_number": "319-235-5999",
            "fax_number": "319-234-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIERCKS SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "DIERCKS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "319-235-5999"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVAILITY",
            "identifier": "0609843",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devotion Transport LLC
• Laura Dewey, MT-BC
• Joud Ghassoub Dib, M.D.
• Jason Dibben, LMSW
• Jennifer Diemer, MT-BC
• Candace Lee Diercks
• Rodney Dieser
• Digestive Health Center LLC
• Kelly Marie Dighton, PHARM.D
• Taylor Digmann, DPT, ATC

• In Home Supportive Care Agency in Waterloo, IA
• Providers in Waterloo, 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 Sep 28, 2016; 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.