Provider Demographics
NPI:1629797592
Name:SURECARE HOME CARE LLC
Entity Type:Organization
Organization Name:SURECARE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NKURUNZIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEUDONNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-282-7174
Mailing Address - Street 1:222 3RD AVE SE STE 501
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52401-1542
Mailing Address - Country:US
Mailing Address - Phone:806-282-7174
Mailing Address - Fax:
Practice Address - Street 1:222 3RD AVE SE STE 501
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-1542
Practice Address - Country:US
Practice Address - Phone:806-282-7174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health