Healthcare Provider Details

I. General information

NPI: 1790241982
Provider Name (Legal Business Name): VISITING NURSE SERVICES OF IOWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2019
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W HUTCHINGS ST
WINTERSET IA
50273-2109
US

IV. Provider business mailing address

3000 EASTON BLVD
DES MOINES IA
50317-3124
US

V. Phone/Fax

Practice location:
  • Phone: 515-274-3400
  • Fax:
Mailing address:
  • Phone: 515-274-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: TRAY WADE
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 515-274-3400