Provider Demographics
NPI:1649579053
Name:HOME WELLCARE COMPANY
Entity Type:Organization
Organization Name:HOME WELLCARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STEINNAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:319-457-4161
Mailing Address - Street 1:114 WINDSOR CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52301
Mailing Address - Country:US
Mailing Address - Phone:319-457-4161
Mailing Address - Fax:
Practice Address - Street 1:114 WINDSOR CIRCLE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601
Practice Address - Country:US
Practice Address - Phone:319-457-4161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health