Healthcare Provider Details

I. General information

NPI: 1053400960
Provider Name (Legal Business Name): UNITYPOINT AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11333 AURORA AVE.
URBANDALE IA
50322
US

IV. Provider business mailing address

1776 W LAKES PKWY STE 400
WEST DES MOINES IA
50266-8378
US

V. Phone/Fax

Practice location:
  • Phone: 515-557-3100
  • Fax: 515-557-3186
Mailing address:
  • Phone: 515-557-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5055
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number400-0298
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number157
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number11
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number265172
License Number StateMN
# 6
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number2015028128
License Number StateMO
# 7
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberY007085
License Number StateAZ
# 8
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number258-43
License Number StateWI
# 9
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number54.015478
License Number StateIL

VIII. Authorized Official

Name: MARISSA A SMITH
Title or Position: VP ACCREDITATION AND REG AFFAIRS
Credential:
Phone: 515-557-3100