Provider Demographics
NPI:1841014149
Name:AYUBU FAMILY CARE
Entity type:Organization
Organization Name:AYUBU FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:NTETURUYE
Authorized Official - Last Name:SEBINTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-639-4628
Mailing Address - Street 1:925 MELODY CIR
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-7614
Mailing Address - Country:US
Mailing Address - Phone:515-639-4628
Mailing Address - Fax:
Practice Address - Street 1:925 MELODY CIR
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-7614
Practice Address - Country:US
Practice Address - Phone:515-639-4628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care