Healthcare Provider Details

I. General information

NPI: 1679952063
Provider Name (Legal Business Name): HOME CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7517 UNIVERSITY AVE SUITE 7
CEDAR FALLS IA
50613-5027
US

IV. Provider business mailing address

7517 UNIVERSITY AVE SUITE 7
CEDAR FALLS IA
50613-5027
US

V. Phone/Fax

Practice location:
  • Phone: 319-268-0401
  • Fax: 319-268-0040
Mailing address:
  • Phone: 319-268-0401
  • Fax: 319-268-0040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MISS DAWN BENGEN
Title or Position: CFO
Credential:
Phone: 319-553-2204