Healthcare Provider Details
I. General information
NPI: 1659434249
Provider Name (Legal Business Name): THE ARC OF EAST CENTRAL IOWA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2006
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
680 2ND ST SE STE. 200
CEDAR RAPIDS IA
52401-2006
US
IV. Provider business mailing address
680 2ND ST SE
CEDAR RAPIDS IA
52401
US
V. Phone/Fax
- Phone: 319-365-0487
- Fax: 319-365-9938
- Phone: 319-365-0487
- Fax: 319-365-9938
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | 0106492 |
| License Number State | IA |
VIII. Authorized Official
Name:
THERESA
M
LEWIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 319-365-0487