Provider Demographics
NPI:1619102571
Name:CAREGIVER MANAGEMENT SYSTEMS, INC.
Entity Type:Organization
Organization Name:CAREGIVER MANAGEMENT SYSTEMS, INC.
Other - Org Name:ALL-AMERICAN CARE OF MUSCATINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:RHOADS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA/FACHCA
Authorized Official - Phone:847-517-6710
Mailing Address - Street 1:2002 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2612
Mailing Address - Country:US
Mailing Address - Phone:563-264-2023
Mailing Address - Fax:563-264-2023
Practice Address - Street 1:2002 CEDAR ST
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2612
Practice Address - Country:US
Practice Address - Phone:563-264-2023
Practice Address - Fax:563-264-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA165585Medicare Oscar/Certification