Provider Demographics
NPI:1831913722
Name:MODE D'S SERVICES LLC
Entity type:Organization
Organization Name:MODE D'S SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FREDDY
Authorized Official - Middle Name:MUHUMURE
Authorized Official - Last Name:NKURUNZIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-313-8761
Mailing Address - Street 1:1712 NW MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-8895
Mailing Address - Country:US
Mailing Address - Phone:515-313-8761
Mailing Address - Fax:
Practice Address - Street 1:1712 NW MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-8895
Practice Address - Country:US
Practice Address - Phone:515-313-8761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care