Healthcare Provider Details

I. General information

NPI: 1780657247
Provider Name (Legal Business Name): CARE INITIATIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 SAINT FRANCIS DR
WATERLOO IA
50702-5442
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 319-232-6808
  • Fax: 319-232-4402
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 Number070583
License Number StateIA

VIII. Authorized Official

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