NPI Code Details Logo

NPI 1548972359

NPI 1548972359 : CARE BASE LLC : ANKENY, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548972359
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CARE BASE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/23/2022
-----------------------------------------------------
    Last Update Date     |    02/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1615 SE CORTINA DR STE 5 
-----------------------------------------------------
    City                 |    ANKENY
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50021-3357
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    515-418-5807
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1615 SE CORTINA DR STE 5 
-----------------------------------------------------
    City                 |    ANKENY
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50021-3357
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    515-418-5807
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     JEAN BAPTISTE  MUGABE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    515-418-5807
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.