Provider Demographics
NPI:1356985915
Name:CARETECH XPRESS LLC
Entity type:Organization
Organization Name:CARETECH XPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-770-5368
Mailing Address - Street 1:4125 86TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-2342
Mailing Address - Country:US
Mailing Address - Phone:515-770-5368
Mailing Address - Fax:
Practice Address - Street 1:4125 86TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-2342
Practice Address - Country:US
Practice Address - Phone:515-770-5368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental IllnessGroup - Multi-Specialty
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral DisturbancesGroup - Multi-Specialty
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities