Provider Demographics
NPI:1083016935
Name:BAUMGART HOME CARE
Entity Type:Organization
Organization Name:BAUMGART HOME CARE
Other - Org Name:HOME INSTEAD SENIOR CARE WAUKEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BAUMGART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-880-6722
Mailing Address - Street 1:215 N WARRIOR LN
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-8313
Mailing Address - Country:US
Mailing Address - Phone:515-978-7991
Mailing Address - Fax:
Practice Address - Street 1:215 N WARRIOR LN
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8313
Practice Address - Country:US
Practice Address - Phone:515-978-7991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care