Healthcare Provider Details

I. General information

NPI: 1528124922
Provider Name (Legal Business Name): HOMECARE OPTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 N COURT ST
CARROLL IA
51401-2421
US

IV. Provider business mailing address

626 N COURT ST PO BOX 674
CARROLL IA
51401-2421
US

V. Phone/Fax

Practice location:
  • Phone: 712-792-0322
  • Fax: 712-792-0029
Mailing address:
  • Phone: 712-792-0322
  • Fax: 712-792-0029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number0287557
License Number StateIA

VIII. Authorized Official

Name: MR. RANDY LEO HUEGERICH
Title or Position: VICE PRESIDENT
Credential:
Phone: 712-792-0322