Healthcare Provider Details

I. General information

NPI: 1487864179
Provider Name (Legal Business Name): DAY DREAM SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 COLLINS RD NE SUITE 206
CEDAR RAPIDS IA
52402-3166
US

IV. Provider business mailing address

208 COLLINS RD NE SUITE 206
CEDAR RAPIDS IA
52402-3166
US

V. Phone/Fax

Practice location:
  • Phone: 319-247-0400
  • Fax: 319-377-5334
Mailing address:
  • Phone: 319-247-0400
  • Fax: 319-377-5334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIA

VII. Legacy identifiers

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

# 1
Identifier0415893
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer

VIII. Authorized Official

Name: MRS. CATHY WEBER
Title or Position: OWNER
Credential:
Phone: 319-247-0400