Healthcare Provider Details

I. General information

NPI: 1356262224
Provider Name (Legal Business Name): CIA CAROLYN IN ACTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1429 13TH ST
DES MOINES IA
50314-2335
US

IV. Provider business mailing address

1429 13TH ST
DES MOINES IA
50314-2335
US

V. Phone/Fax

Practice location:
  • Phone: 515-779-1694
  • Fax: 515-779-1694
Mailing address:
  • Phone: 515-779-1694
  • Fax: 515-779-1694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN MARIE HILL LOMAX
Title or Position: OWNER
Credential: CEO
Phone: 515-779-1694