Provider Demographics
NPI:1013231760
Name:BRAATEN HEALTH, LLC
Entity Type:Organization
Organization Name:BRAATEN HEALTH, LLC
Other - Org Name:ABSOLUTE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING/CLAIMS ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-327-0133
Mailing Address - Street 1:PO BOX 3488
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52808-3488
Mailing Address - Country:US
Mailing Address - Phone:563-327-0132
Mailing Address - Fax:563-359-5642
Practice Address - Street 1:5403 VICTORIA AVE
Practice Address - Street 2:SUITE 20
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3925
Practice Address - Country:US
Practice Address - Phone:563-327-0132
Practice Address - Fax:563-359-5642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health