Healthcare Provider Details

I. General information

NPI: 1669334306
Provider Name (Legal Business Name): CARE SERAVIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 N RIVER BLVD NE
CEDAR RAPIDS IA
52411-6674
US

IV. Provider business mailing address

2814 MARY DR APT 1
HIAWATHA IA
52233-2809
US

V. Phone/Fax

Practice location:
  • Phone: 319-693-8577
  • Fax: 319-693-8577
Mailing address:
  • Phone: 319-693-8577
  • Fax: 319-775-5033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: REMI M JACOB
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 319-693-8577