Healthcare Provider Details

I. General information

NPI: 1710053186
Provider Name (Legal Business Name): FLOYD VALLEY HOME MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 HOLTON DR. SW
LEMARS IA
51031
US

IV. Provider business mailing address

PO BOX 5045
SIOUX FALLS SD
57117-5045
US

V. Phone/Fax

Practice location:
  • Phone: 712-546-7342
  • Fax: 712-546-5699
Mailing address:
  • Phone: 605-322-1872
  • Fax: 605-322-1892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number175007503
License Number StateIA

VIII. Authorized Official

Name: SANDRA D DIELEMAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 605-322-1872