Provider Demographics
NPI:1265835615
Name:SIMPLY HOME HEALTH CARE
Entity Type:Organization
Organization Name:SIMPLY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:VARNER-WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:319-721-9445
Mailing Address - Street 1:2 KLEMISH CIR STE B
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:IA
Mailing Address - Zip Code:52213-9776
Mailing Address - Country:US
Mailing Address - Phone:319-294-4883
Mailing Address - Fax:319-294-4883
Practice Address - Street 1:3300 WUBBENS RD STE B
Practice Address - Street 2:
Practice Address - City:TODDVILLE
Practice Address - State:IA
Practice Address - Zip Code:52341-9716
Practice Address - Country:US
Practice Address - Phone:319-294-4883
Practice Address - Fax:319-294-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA096584251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health