Provider Demographics
NPI:1326031360
Name:REGIONAL HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:REGIONAL HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-835-9035
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:418 MAIN ST
Mailing Address - City:DONNELLSON
Mailing Address - State:IA
Mailing Address - Zip Code:52625-0040
Mailing Address - Country:US
Mailing Address - Phone:319-835-9035
Mailing Address - Fax:319-835-9051
Practice Address - Street 1:418 MAIN ST
Practice Address - Street 2:
Practice Address - City:DONNELLSON
Practice Address - State:IA
Practice Address - Zip Code:52625
Practice Address - Country:US
Practice Address - Phone:319-835-9035
Practice Address - Fax:319-835-9051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA167263251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0672634Medicaid
IA0672634Medicaid