Healthcare Provider Details

I. General information

NPI: 1073715629
Provider Name (Legal Business Name): MADISON COUNTY ELDERLY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 N 1ST ST
WINTERSET IA
50273-1233
US

IV. Provider business mailing address

1006 N 1ST ST
WINTERSET IA
50273-1233
US

V. Phone/Fax

Practice location:
  • Phone: 515-462-1334
  • Fax: 515-462-1357
Mailing address:
  • Phone: 515-462-1334
  • Fax: 515-462-1357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateIA

VIII. Authorized Official

Name: SHAREE BARBARA OWENS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 515-462-1334