Healthcare Provider Details

I. General information

NPI: 1891609699
Provider Name (Legal Business Name): WHOLE HEART HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 BEL AIRE CT
WAUKEE IA
50263-8963
US

IV. Provider business mailing address

1120 BEL AIRE CT
WAUKEE IA
50263-8963
US

V. Phone/Fax

Practice location:
  • Phone: 515-443-6678
  • Fax:
Mailing address:
  • Phone: 515-443-6678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSEPH CHEGE
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 515-443-6678