Healthcare Provider Details

I. General information

NPI: 1326730185
Provider Name (Legal Business Name): AMES AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 5TH ST
AMES IA
50010-6104
US

IV. Provider business mailing address

11131 S TOWNE SQ STE F
SAINT LOUIS MO
63123-7817
US

V. Phone/Fax

Practice location:
  • Phone: 515-446-4316
  • Fax: 515-446-4318
Mailing address:
  • Phone: 314-888-5848
  • Fax: 314-842-5579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER ANNE MOONEY
Title or Position: DIRECTOR, FINANCE & SHARED SERVICES
Credential:
Phone: 314-888-5848