Provider Demographics
NPI:1639166093
Name:IOWA HOME CARE, LLC
Entity Type:Organization
Organization Name:IOWA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:515-222-9995
Mailing Address - Street 1:2500 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1420
Mailing Address - Country:US
Mailing Address - Phone:515-222-2285
Mailing Address - Fax:515-222-9985
Practice Address - Street 1:2500 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1420
Practice Address - Country:US
Practice Address - Phone:515-222-2285
Practice Address - Fax:515-222-9985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA67288OtherBLUE CROSS BLUE SHIELD
INF246471OtherMIDLANDS CHOICE
IA0672881Medicaid
IA0672881Medicaid