Healthcare Provider Details

I. General information

NPI: 1902879018
Provider Name (Legal Business Name): CARE INITIATIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 3RD ST NW
STATE CENTER IA
50247-1012
US

IV. Provider business mailing address

1611 W LAKES PKWY
WEST DES MOINES IA
50266-8212
US

V. Phone/Fax

Practice location:
  • Phone: 641-483-2812
  • Fax: 641-483-2522
Mailing address:
  • Phone: 515-224-4442
  • Fax: 515-224-0960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number640152
License Number StateIA

VIII. Authorized Official

Name: DAVID DIXON
Title or Position: SVP/CFO
Credential:
Phone: 515-224-4442