Provider Demographics
NPI:1134313828
Name:COMMUNITY CARES HOME HEALTH, INC.
Entity Type:Organization
Organization Name:COMMUNITY CARES HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:BREKKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:515-277-1560
Mailing Address - Street 1:2511 PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-6211
Mailing Address - Country:US
Mailing Address - Phone:515-277-1560
Mailing Address - Fax:
Practice Address - Street 1:2511 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-6211
Practice Address - Country:US
Practice Address - Phone:515-277-1560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA113092251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health