ACTIVELY SUPPORTING INDIVIDUALS WITH CHALLENGES (NPI# 1790073625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790073625 |
| Entity Type | Organization |
| Organization Name | ACTIVELY SUPPORTING INDIVIDUALS WITH CHALLENGES |
| Practice Address |
301 Scott St Griswold IA 51535-2044 |
| Practice Telephone | 4029175163 |
| Mailing Telephone | 4029175163 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | DERIK L SHIELDS (OWNER) |
| Authorized Official Telephone | 4029175163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | IA | Agencies |
| Street Address |
301 SCOTT ST |
| City | GRISWOLD |
| State | IA |
| Zip Code | 51535-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225106107 | City of Griswold | Ambulance | 705 Third Street, Griswold, IA 51535 | 2006-12-01 |
| 1902358773 | Griswold Community School District | Local Education Agency (LEA) | 20 Madison St, Griswold, IA 51535-2092 | 2016-10-27 |
| 1649240987 | Griswold Care Center Inc. | Nursing Facility/Intermediate Care Facility | 106 Harrison St, Griswold, IA 51535-8042 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163671 | Kirsten Alexandra Drobiak | Physician Assistant | 37 Jennifer Ln, Griswold, CT 06351-3500 | 2020-10-28 |
| 1851933816 | Brock Kraemer | Student in an Organized Health Care Education/Training Program | 254 Kenwood, Griswold, CT 06351-8900 | 2019-10-11 |
| 1730749359 | Jacquelyn Longacre | Physician Assistant | 115 Cook Hill Rd, Griswold, CT 06351-3610 | 2019-06-17 |
| 1992283717 | Alexandra Nichole Mcshane | Counselor | 26 Arrowhead Dr, Griswold, CT 06351-1401 | 2018-08-02 |
| 1093255903 | Michelle Dennis | Pharmacist | 34 Bergendahl Dr, Griswold, CT 06351-2601 | 2017-02-27 |
| 1902358773 | Griswold Community School District | Local Education Agency (LEA) | 20 Madison St, Griswold, IA 51535-2092 | 2016-10-27 |
| 1588114870 | Whole Self Wellness, LLC | Clinic/Center | 144 Banjo Sullivan Rd, Griswold, CT 06351-1201 | 2016-10-11 |
| 1609218858 | James David Plante | Social Worker | 59 Tift St, Griswold, CT 06351-1821 | 2013-07-29 |
| 1659617058 | Erin Haggan | Social Worker | 55 Dina Ln, Griswold, CT 06351 | 2012-12-13 |
| 1528397916 | Carolyn Jeanne Gencarella | Counselor | 19 Rixtown Rd, Griswold, CT 06351-9134 | 2009-12-14 |
| Find all providers in GRISWOLD | ||||
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.