NPIMap

Organization Active NPI

Boone County Hospital

Doing business as Home Care Services of Boone County Hospital

  • Home Health Agency
  • Boone, IA
National Provider Identifier
1972509479
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BOONE COUNTY HOSPITAL
Doing business as
Home Care Services of Boone County Hospital
Practice address
105 S Marshall St
Boone, IA 50036-4899
Phone
(515) 432-1127
Fax
(515) 432-0706
NPI assigned
Jun 21, 2005
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BOONE COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Mikaela Kienitz
Title
Ceo
Phone
(515) 432-3140

Specialties & licenses 1

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

Addresses

Primary practice location

105 S Marshall St
Boone, IA 50036-4899

Mailing address

105 S Marshall St
Boone, IA 50036-4899
Phone (515) 432-1127

Other identifiers 5

IdentifierTypeStateIssuer
25749OtherIAIOWA HEALTH SOLUTIONS PRO
0670349MedicaidIA
67034OtherIABLUE CROSS PROVIDER NUMBE
0062307MedicaidIA
708282OtherIABLACK LUNG PROVIDER NUMBE

Other names 1

  • Home Care Services of Boone County Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bch.homehealth@cynchealthdsm.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100114000538 IA Part A Provider - Home Health Agency 7416840335 Practice locations: Boone, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972509479. Details of each certification follow.

Home health agency certification: CCN 167034

Legal name
BOONE COUNTY HOSPITAL
Doing business as
HOME CARE SERVICES OF BOONE COUNTY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jun 30, 2026
Provider type (POS)
Home health agency
Participating since
May 5, 1969
Last certification
Nov 6, 2019
Ownership / control type
Government Operated
Organization structure
OtherNon-profit
Enrollment address
105 S Marshall St
Boone, IA 50036-4899
HHA Branch

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care Services of Boone CoCCN 167034 · All quality measures
Overall star rating
3 of 5
Ownership
Government Operated
Certified
May 5, 1969
Medicare certification status
Terminated Voluntary: merger or closure, Jun 30, 2026From the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0694730Home Care Services of Boone County Hospital105 South Marshall, Suite C, Boone, IA 50036Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Boone County Hospital R

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Lydia Billings Individual W-2 Managing Employee Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Mikaela Kienitz Individual Corporate OfficerCeo Jan 2, 2023
W-2 Managing EmployeeCeo Jan 2, 2023
Christopher J Torres Individual Corporate OfficerCfo Jun 24, 2024
W-2 Managing EmployeeCfo Jun 24, 2024
Boone County Hospital Organization, Boone, IA Operational/Managerial Control Dec 30, 2009

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Boone County HospitalBoone, IA, CCN 161372 Hospital Operational/Managerial Control Sep 1, 2005
Boone County HospitalBoone, IA, CCN 16Z372 Hospital Operational/Managerial Control (100%) Sep 1, 2005

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 3

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": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1972509479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364899",
            "telephone_number": "515-432-1127",
            "fax_number": "515-432-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364899",
            "telephone_number": "515-432-1127",
            "fax_number": "515-432-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOONE COUNTY HOSPITAL",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "KIENITZ",
        "authorized_official_first_name": "MIKAELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-432-3140"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA HEALTH SOLUTIONS PRO",
            "identifier": "25749",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670349",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "67034",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062307",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROVIDER NUMBE",
            "identifier": "708282",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bch.homehealth@cynchealthdsm.org",
            "affiliation": "N",
            "address_1": "105 S Marshall St",
            "city": "Boone",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500364899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Home Care Services of Boone County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Care Services of Boone County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boone, IA

Sources for this page

Verify at the official NPI Registry.