Healthcare Provider Details

I. General information

NPI: 1528109683
Provider Name (Legal Business Name): ELIZABETH CATES MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N CARROLL ST
CARROLL IA
51401-2336
US

IV. Provider business mailing address

821 N CARROLL ST
CARROLL IA
51401-2336
US

V. Phone/Fax

Practice location:
  • Phone: 712-792-1432
  • Fax:
Mailing address:
  • Phone: 712-792-1432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number54396440
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: