Provider Demographics
NPI:1801849740
Name:HAWKEYE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:HAWKEYE HEALTH SERVICES INC
Other - Org Name:GIRLING HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:512-634-4900
Mailing Address - Street 1:4232 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50311-3422
Mailing Address - Country:US
Mailing Address - Phone:515-277-0977
Mailing Address - Fax:515-277-1587
Practice Address - Street 1:1109 HIGHWAY 18 EAST
Practice Address - Street 2:
Practice Address - City:ALGONA
Practice Address - State:IA
Practice Address - Zip Code:50511-1107
Practice Address - Country:US
Practice Address - Phone:515-295-5551
Practice Address - Fax:515-295-6892
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARDEN HOME HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-19
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA16D0897765OtherCLIA
IA0673038Medicaid
IA16D0897765OtherCLIA