Healthcare Provider Details

I. General information

NPI: 1053905091
Provider Name (Legal Business Name): RELIEF HEALTHCARE EXPRESS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2021
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1742 LARK LN
WATERLOO IA
50701-3637
US

IV. Provider business mailing address

1742 LARK LN
WATERLOO IA
50701-3637
US

V. Phone/Fax

Practice location:
  • Phone: 319-529-0994
  • Fax:
Mailing address:
  • Phone: 319-252-0405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: SONJA NAVARRO
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 319-252-0405