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General NPI Number Information
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NPI Number | 1669334306
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Entity Type | Organization
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Legal Business Name | CARE SERAVIO LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 4425 N RIVER BLVD NE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52411-6674
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Country | US
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Telephone | 319-693-8577
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Fax | 319-693-8577
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Provider Business Mailing Address
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Address Line | 2814 MARY DR APT 1
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City | HIAWATHA
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State | IA
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Zip | 52233-2809
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Country | US
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Telephone | 319-693-8577
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Fax | 319-775-5033
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | REMI M JACOB
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Credential |
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Telephone | 319-693-8577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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