Healthcare Provider Details

I. General information

NPI: 1144689134
Provider Name (Legal Business Name): VISITING NURSE SERVICES OF IOWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2016
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W ADAMS ST
CRESTON IA
50801-3106
US

IV. Provider business mailing address

3000 EASTON BLVD
DES MOINES IA
50317-3124
US

V. Phone/Fax

Practice location:
  • Phone: 641-782-6620
  • Fax:
Mailing address:
  • Phone: 515-274-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TRAY WADE
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 515-274-3400