MEDICARE: UNITYPOINT AT HOME

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1699911859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITYPOINT AT HOME

Provider Business Mailing Address
First Line	:	1776 W LAKES PKWY STE 400
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8378
Country	:	US
Telephone Number	:	515-241-6161
Fax Number	:	515-557-3186

Provider Business Practice Location Address
First Line	:	214 S 25TH ST
Second Line	:
City	:	FORT DODGE
State	:	IA
Zip	:	50501-4314
Country	:	US
Telephone Number	:	515-574-6416
Fax Number	:	515-574-6985

Authorized Official
Title or Position	:	VP/CHIEF COMPLIANCE OFFICER
Name	:	MARISSA A SMITH
Credential	:
Telephone Number	:	515-557-3100

Provider Enumeration Date	:	12/18/2008
Last Update Date	:	07/24/2024

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Directions to “UNITYPOINT AT HOME ” Practice Location

Language	Start Address	Practice Location

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