Healthcare Provider Details

I. General information

NPI: 1457248585
Provider Name (Legal Business Name): BREATHE EASY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 N HARRISON ST STE 200
DAVENPORT IA
52801-1309
US

IV. Provider business mailing address

332 N HARRISON ST STE 200
DAVENPORT IA
52801-1309
US

V. Phone/Fax

Practice location:
  • Phone: 563-723-0020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: THOMAS PENISTON
Title or Position: CEO
Credential:
Phone: 563-949-9264