Healthcare Provider Details

I. General information

NPI: 1821032640
Provider Name (Legal Business Name): AYRES ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 COUNTY ST
RIDGEWAY IA
52165-9704
US

IV. Provider business mailing address

560 COUNTY ST
RIDGEWAY IA
52165-9704
US

V. Phone/Fax

Practice location:
  • Phone: 563-379-6112
  • Fax: 563-737-2488
Mailing address:
  • Phone: 563-379-6112
  • Fax: 563-737-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. GAIL M. AYRES
Title or Position: OWNER
Credential: RN
Phone: 563-737-2488