Provider Demographics
NPI:1972885721
Name:IOWA HOME CARE LLC
Entity Type:Organization
Organization Name:IOWA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
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:515-225-6777
Practice Address - Street 1:13133 ANGLE RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-8976
Practice Address - Country:US
Practice Address - Phone:641-226-5699
Practice Address - Fax:641-226-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-16
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health