Provider Demographics
NPI:1467618942
Name:CARE INITIATIVES
Entity Type:Organization
Organization Name:CARE INITIATIVES
Other - Org Name:CARE INITIATIVES HOSPICE - SIOUX CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-224-4442
Mailing Address - Street 1:1611 W LAKES PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8212
Mailing Address - Country:US
Mailing Address - Phone:515-223-3813
Mailing Address - Fax:515-224-0960
Practice Address - Street 1:4301 SERGEANT RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106
Practice Address - Country:US
Practice Address - Phone:712-239-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0615920Medicaid
IA1600001592Medicare NSC