Provider Demographics
NPI:1083140685
Name:PRIVATE DUTY NURSING PLUS LLC
Entity Type:Organization
Organization Name:PRIVATE DUTY NURSING PLUS LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:515-243-0011
Mailing Address - Street 1:1300 METRO EAST DR
Mailing Address - Street 2:STE 110
Mailing Address - City:PLEASANT HILL
Mailing Address - State:IA
Mailing Address - Zip Code:50327-8905
Mailing Address - Country:US
Mailing Address - Phone:515-243-0011
Mailing Address - Fax:515-243-7711
Practice Address - Street 1:1300 METRO EAST DR
Practice Address - Street 2:STE 110
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-8905
Practice Address - Country:US
Practice Address - Phone:515-243-0011
Practice Address - Fax:515-243-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care