Provider Demographics
NPI:1477617074
Name:HOME CARING SERVICES, INC
Entity Type:Organization
Organization Name:HOME CARING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-754-6559
Mailing Address - Street 1:506 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-5426
Mailing Address - Country:US
Mailing Address - Phone:319-754-6559
Mailing Address - Fax:319-754-6055
Practice Address - Street 1:506 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-5426
Practice Address - Country:US
Practice Address - Phone:319-754-6559
Practice Address - Fax:319-754-6055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0260935Medicaid
IA0100990Medicaid