Healthcare Provider Details

I. General information

NPI: 1366414351
Provider Name (Legal Business Name): CARE INITIATIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 11/09/2022
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CLIVE DR SW
CEDAR RAPIDS IA
52404-1324
US

IV. Provider business mailing address

1611 WEST LAKES PARKWAY
WEST DES MOINES IA
50266-8212
US

V. Phone/Fax

Practice location:
  • Phone: 319-396-7171
  • Fax: 319-396-7789
Mailing address:
  • Phone: 515-224-4442
  • Fax: 515-224-0960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number570110
License Number StateIA

VIII. Authorized Official

Name: DAVID DIXON
Title or Position: CFO/SVP
Credential:
Phone: 515-224-4442