Provider Demographics
NPI:1578536983
Name:CARE INITIATIVES
Entity Type:Organization
Organization Name:CARE INITIATIVES
Other - Org Name:PINNACLE SPECIALTY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-224-4442
Mailing Address - Street 1:1223 PRAIRIE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2260
Mailing Address - Country:US
Mailing Address - Phone:319-268-0489
Mailing Address - Fax:319-268-0771
Practice Address - Street 1:1223 PRAIRIE VIEW RD
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2260
Practice Address - Country:US
Practice Address - Phone:319-268-0489
Practice Address - Fax:319-268-0771
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE INITIATIVES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-08
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA070586314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0652982Medicaid
IA0808337Medicaid
IA0652982Medicaid
IA0117804Medicaid
IA0808337Medicaid