Healthcare Provider Details

I. General information

NPI: 1922468925
Provider Name (Legal Business Name): UNITYPOINT AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2016
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 10TH ST SE STE 1130-A
CEDAR RAPIDS IA
52403-2450
US

IV. Provider business mailing address

1776 W LAKES PKWY STE 400
WEST DES MOINES IA
50266-8378
US

V. Phone/Fax

Practice location:
  • Phone: 319-369-5114
  • Fax: 319-369-5115
Mailing address:
  • Phone: 515-557-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateIA

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MARISSA A SMITH
Title or Position: VP/CHIEF COMPLIANCE OFFICER
Credential:
Phone: 515-557-3100