MEDICARE: A-1 HOME HEALTHCARE SERVICE CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	5857	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	115979	OTHER	IA	BLUE CROSS PROVIDER NO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336181890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-1 HOME HEALTHCARE SERVICE CO

Provider Business Mailing Address
First Line	:	3223 1ST AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-6001
Country	:	US
Telephone Number	:	319-362-1084
Fax Number	:	319-366-8972

Provider Business Practice Location Address
First Line	:	3223 1ST AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-6001
Country	:	US
Telephone Number	:	319-362-1084
Fax Number	:	319-366-8972

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROSE C LIND
Credential	:
Telephone Number	:	515-955-1654

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	08/22/2020

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Directions to “A-1 HOME HEALTHCARE SERVICE CO ” Practice Location

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