MY NURSE HEALTHCARE, LLC (NPI# 1114548757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114548757 |
| Entity Type | Organization |
| Organization Name | MY NURSE HEALTHCARE, LLC |
| Practice Address |
124 Huron Cir Council Bluffs IA 51501-8327 |
| Practice Telephone | 4022508465 |
| Practice Fax Number | 2677905172 |
| Mailing Telephone | 4022508465 |
| Mailing Fax Number | 2677905172 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | JULIE ANN WYSSMAN (RN OWNER) |
| Authorized Official Telephone | 4022508465 |
| Authorized Official Credential | RN |
| 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 |
|---|---|
| My Nurse Healthcare, LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MY NURSE HEALTHCARE, LLC | 124 Huron Cir, Council Bluffs, IA 51501 |
| Street Address |
124 HURON CIR |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-8327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578918553 | Julie A. Wyssman | Registered Nurse | 124 Huron Cir, Council Bluffs, IA 51501-8327 | 2016-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| 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 |
|---|---|---|---|---|
| 1801493895 | Roseman Home Care Iowa, Inc. | In Home Supportive Care | 650 Scott Park Dr, Iowa City, IA 52245-5140 | 2020-10-03 |
| 1568076164 | Guardian Homecare Agency | In Home Supportive Care | 1040 90th St, West Des Moines, IA 50266-3306 | 2020-09-02 |
| 1043834914 | Vibrant Scl, LLC | In Home Supportive Care | 1776 22nd St Ste 201, West Des Moines, IA 50266-1444 | 2020-06-05 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
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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.