Provider Demographics
NPI:1295434835
Name:CI HEALTHCARE, L.L.C.
Entity type:Organization
Organization Name:CI HEALTHCARE, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO/SVP
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-224-4442
Mailing Address - Street 1:1611 W LAKES PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8212
Mailing Address - Country:US
Mailing Address - Phone:515-224-4442
Mailing Address - Fax:515-224-0960
Practice Address - Street 1:440 REGENCY PARKWAY DR STE 131
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3742
Practice Address - Country:US
Practice Address - Phone:515-224-4442
Practice Address - Fax:515-224-0960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE INITIATIVES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-02
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based