MEDICARE: ALL HEART STAFFING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1114102415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL HEART STAFFING, INC.

Provider Business Mailing Address
First Line	:	4403 1ST AVE SE STE 310
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-3221
Country	:	US
Telephone Number	:	319-241-7560
Fax Number	:	319-294-9593

Provider Business Practice Location Address
First Line	:	4403 1ST AVE SE STE 310
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-3221
Country	:	US
Telephone Number	:	319-241-7560
Fax Number	:	319-294-9593

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOEL SCOTT KATCHER
Credential	:
Telephone Number	:	319-241-7560

Provider Enumeration Date	:	01/04/2008
Last Update Date	:	01/04/2008

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