BOONE COUNTY HOSPITAL NPI 1972509479

NPI Information

NPI: 1972509479
Provider Name: BOONE COUNTY HOSPITAL
Classification: Home Health - 251E00000X
Entity Type: Organization
Doing Business As: HOME CARE SERVICES OF BOONE COUNTY HOSPITAL
CLIA Number: 16D0694730
Address: 105 S MARSHALL ST
BOONE, IA
ZIP 50036
Phone: (515) 432-1127

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NPI Details

BOONE COUNTY HOSPITAL is a home health in Boone, IA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. BOONE COUNTY HOSPITAL NPI is 1972509479. The provider is registered as an organization entity type.
The provider Is Doing Business As Home Care Services Of Boone County Hospital.

The provider's business location address is:

105 S MARSHALL ST
BOONE, IA
ZIP 50036-899
Phone: (515) 432-1127
Fax: (515) 432-0706

The provider's authorized official is Mikaela Kienitz .
The authorized official title is Ceo and has the following contact phone number (515) 432-3140.

The CLIA number assigned to this NPI record is 16D0694730 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health			IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0062307	MEDICAID	IOWA
2	708282	OTHER	IOWA	BLACK LUNG PROVIDER NUMBE
3	0670349	MEDICAID	IOWA
4	25749	OTHER	IOWA	IOWA HEALTH SOLUTIONS PRO
5	67034	OTHER	IOWA	BLUE CROSS PROVIDER NUMBE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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