Healthcare Provider Details

I. General information

NPI: 1386777621
Provider Name (Legal Business Name): VISITING NURSE SERVICES OF IOWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 9TH ST STE 320
DES MOINES IA
50314
US

IV. Provider business mailing address

3000 EASTON BLVD
DES MOINES IA
50317-3124
US

V. Phone/Fax

Practice location:
  • Phone: 515-288-1516
  • Fax: 515-288-0437
Mailing address:
  • Phone: 515-333-4261
  • Fax: 515-274-1137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

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