Provider Demographics
NPI:1710253497
Name:CAREGIVERS HOME HEALTH, LLC
Entity Type:Organization
Organization Name:CAREGIVERS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:641-437-1117
Mailing Address - Street 1:19999 SAINT JOSEPH DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52544-9032
Mailing Address - Country:US
Mailing Address - Phone:641-437-1117
Mailing Address - Fax:641-437-1988
Practice Address - Street 1:19999 SAINT JOSEPHS DRIVE
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IA
Practice Address - Zip Code:52544
Practice Address - Country:US
Practice Address - Phone:641-437-1117
Practice Address - Fax:641-437-1988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1710253497Medicaid
IA1710253497Medicaid