MEDICARE: MARIAN HOME HEALTHCARE

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861469066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIAN HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	711 5TH ST
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51101-1302
Country	:	US
Telephone Number	:	712-233-5151
Fax Number	:	712-233-5156

Provider Business Practice Location Address
First Line	:	711 5TH ST
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51101-1302
Country	:	US
Telephone Number	:	712-233-5151
Fax Number	:	712-233-5156

Authorized Official
Title or Position	:	VP/CFO
Name	:	MR. RONALD J ROBERSON
Credential	:
Telephone Number	:	712-279-5850

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	08/22/2020

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Directions to “MARIAN HOME HEALTHCARE ” Practice Location

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