Healthcare Provider Details

I. General information

NPI: 1881507309
Provider Name (Legal Business Name): FOUNDATIONS AT HOME MOBILE OT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 5TH AVE SE
LE MARS IA
51031-2140
US

IV. Provider business mailing address

421 5TH AVE SE
LE MARS IA
51031-2140
US

V. Phone/Fax

Practice location:
  • Phone: 712-540-6050
  • Fax:
Mailing address:
  • Phone: 712-540-6050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELA LEE STEARNS
Title or Position: OCCUPATIONAL THERAPIST, OWNER
Credential: OTD, OTR/L, BCG
Phone: 712-540-6050