Iowa Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IOWA HOME CARE LLC

Practice address

3 N 17TH St Ste B
Fort Dodge, IA 50501-4211

Phone

(515) 576-2273

Fax

(515) 576-2989

NPI assigned

Jan 3, 2011

Organization subpart

Yes

Parent organization

IOWA HOME CARE LLCAs reported in NPPES

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

Authorized official

Name

Kimberly Ann Weber, RN, MS, CHCE

Title

Chief Executive Officer

Phone

(515) 222-2285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Home health agency certification: CCN 167320

Legal name

IOWA HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 21, 2010

Last certification

Jun 16, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 15, 2004 in IA

Enrollment address

644 1St St
Ste 1
Webster City, IA 50595-2233

Other NPIs with the same Medicare PAC ID 2

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

• Iowa Home Care LLC

  • Home Health Agency
  • Ottumwa, IA
  • NPI 1972885721

  8325020779

  Same PAC ID
• Iowa Home Care, LLC

  • Home Health Agency
  • West Des Moines, IA
  • NPI 1639166093

  8325020779

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Iowa Home Care, LLC

  • Home Health Agency
  • West Des Moines, IA
  • NPI 1639166093

  O20100209000506

  Same enrollment

Listed as

Iowa Home Care, L L CCCN 167320

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jul 21, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Tax ID family

Iowa Home Care LLC2 organizations share this tax ID, including this one

Part of

Iowa Home Care LLC

Other organizations with this tax ID 1

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

• Iowa Home Care LLC

  • Home Health Agency
  • Ottumwa, IA
  • NPI 1972885721
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1972807170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 UNIVERSITY AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661420",
            "telephone_number": "515-222-2285",
            "fax_number": "515-225-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 N 17TH ST STE B",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014211",
            "telephone_number": "515-576-2273",
            "fax_number": "515-576-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA HOME CARE LLC",
        "enumeration_date": "2011-01-03",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "515-222-2285",
        "authorized_official_credential": "RN, MS, CHCE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.