Iowa Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IOWA HOME CARE LLC

Practice address

13133 Angle Rd Lowr Level
Ottumwa, IA 52501-8976

Phone

(641) 226-5699

Fax

(641) 226-5699

NPI assigned

Sep 16, 2011

Last updated

May 26, 2021By 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

Kimberly Ann Weber

Title

Ceo

Phone

(515) 222-9995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972885721. Details of each certification follow.

• CCN 167322 Home health agency · Active · Details

Home health agency certification: CCN 167322

Legal name

IOWA HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 30, 2012

Last certification

Sep 9, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 15, 2004 in IA

Enrollment address

13133 Angle Rd
Ottumwa, IA 52501-8976

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
  • Fort Dodge, IA
  • NPI 1972807170

  8325020779

  Same PAC ID
• Iowa Home Care, LLC

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

  8325020779

  Same PAC ID

Listed as

Iowa Home Care, L L CCCN 167322 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Jul 30, 2012

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

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
  • Fort Dodge, IA
  • NPI 1972807170
  NPD tax ID

Locations

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.

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1972885721",
    "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": "13133 ANGLE RD LOWR LEVEL",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525018976",
            "telephone_number": "641-226-5699",
            "fax_number": "641-226-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "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": "CEO",
        "authorized_official_telephone_number": "515-222-9995"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee Hyde, ARNP
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• Rebecca Ingamelles, RN
• Iowa Hearing Associates LLC (Miracle Ear)
• Iowa Physicians Clinic Medical Foundation (Ottumwa Family Practice & Specialty)
• Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
• Yousef Ismael, MD
• James D. Enloe, DDS, PC
• Brittney Kaye Jansen, ARNP

• Home Health Agency in Ottumwa, IA
• Providers in Ottumwa, 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.