MEDICARE: CARE INITIATIVES

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	314000000X	Skilled Nursing Facility	930336	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467422915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE INITIATIVES

Provider Business Mailing Address
First Line	:	1611 W LAKES PKWY
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8212
Country	:	US
Telephone Number	:	515-224-4442
Fax Number	:	515-224-0960

Provider Business Practice Location Address
First Line	:	745 E SOUTH ST
Second Line	:
City	:	CORYDON
State	:	IA
Zip	:	50060-1830
Country	:	US
Telephone Number	:	641-872-1590
Fax Number	:	641-872-2623

Authorized Official
Title or Position	:	SVP/CFO
Name	:	DAVID DIXON
Credential	:
Telephone Number	:	515-224-4442

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	11/09/2022

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Practice Location Address:

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1114902087 — JOEL ALAN WELLS D.O.
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1417932385 — ERNEST MAYTUM BREES P.A.-C
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1124003009 — AMY LYNN WOOD P.A.-C
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1518943141 — JOEL LEN BAKER DO
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Directions to “CARE INITIATIVES ” Practice Location

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