MEDICARE: ADVANTAGE NURSING SERVICES OF IOWA, INC.

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	251E00000X	Home Health Agency	167241	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

General Provider Information

NPI Number	:	1831199397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE NURSING SERVICES OF IOWA, INC.

Provider Business Mailing Address
First Line	:	2127 INNERBELT BUSINESS CENTER DR.
Second Line	:	SUITE 100
City	:	SAINT LOUIS
State	:	MO
Zip	:	63114-5718
Country	:	US
Telephone Number	:	314-991-3166
Fax Number	:	314-991-2404

Provider Business Practice Location Address
First Line	:	207 E. MAIN STREET
Second Line	:
City	:	KNOXVILLE
State	:	IA
Zip	:	50138-2526
Country	:	US
Telephone Number	:	641-828-7709
Fax Number	:	641-842-6908

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM B. MAHON
Credential	:
Telephone Number	:	314-991-3166

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	05/12/2011

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