VIBRANT SCL, LLC (NPI# 1043834914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043834914 |
| Entity Type | Organization |
| Organization Name | VIBRANT SCL, LLC |
| Practice Address |
1776 22nd St Ste 201 West Des Moines IA 50266-1444 |
| Practice Telephone | 5154239752 |
| Practice Fax Number | 5154651233 |
| Mailing Telephone | 5154239752 |
| Mailing Fax Number | 5154651233 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | KIT TYHE BALOUN (CO-FOUNDER & CEO) |
| Authorized Official Telephone | 5154239752 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Vibrant SCL, LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | VIBRANT SCL, LLC | 1776 22nd Street, West Des Moines, IA 50266 |
| Street Address |
1776 22ND ST STE 201 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076164 | Guardian Homecare Agency | In Home Supportive Care | 1040 90th St, West Des Moines, IA 50266-3306 | 2020-09-02 |
| 1699255067 | Al Adl LLC | In Home Supportive Care | 2600 University Ave Ste 210, West Des Moines, IA 50266-1462 | 2018-08-15 |
| 1518203843 | Regency Nursing Services, Inc. | In Home Supportive Care | 5550 Wild Rose Ln Ste 400, West Des Moines, IA 50266-5304 | 2012-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493895 | Roseman Home Care Iowa, Inc. | In Home Supportive Care | 650 Scott Park Dr, Iowa City, IA 52245-5140 | 2020-10-03 |
| 1114548757 | My Nurse Healthcare, LLC | In Home Supportive Care | 124 Huron Cir, Council Bluffs, IA 51501-8327 | 2020-05-06 |
| 1437785730 | Bersol Open Home Care LLC | In Home Supportive Care | 416 Drake St Sw, Cedar Rapids, IA 52404-8216 | 2020-03-18 |
| 1366072670 | Zion Home Care LLC | In Home Supportive Care | 906 E Madison Ave, Des Moines, IA 50313-3727 | 2020-01-26 |
| 1164069696 | Mark Alan Peterson | In Home Supportive Care | 5870 Nw 54th Ct, Johnston, IA 50131-1418 | 2019-12-03 |
| 1720625478 | Loving House of Hearts | In Home Supportive Care | 1129 Winchester Lane, North Liberty, IA 52317 | 2019-12-02 |
| 1992348585 | Alpha Home Care Solutions Inc | In Home Supportive Care | 2901 Douglas Ave Ste 2c, Des Moines, IA 50310-5856 | 2019-10-25 |
| 1235789488 | Theodore Timothy Franks | In Home Supportive Care | 136 32nd St Ne, Cedar Rapids, IA 52402-6008 | 2019-09-18 |
| 1093362923 | Phil Schomer | In Home Supportive Care | 1497 Nw 66th Ave, Des Moines, IA 50313-5427 | 2019-08-26 |
| 1801441662 | Daniel Arthur Plathe | In Home Supportive Care | 2505 Nw Morningside Dr, Grimes, IA 50111-8897 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.