MEDICARE: EQUACARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841054525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EQUACARE LLC

Provider Business Mailing Address
First Line	:	3839 MERLE HAY RD STE 204
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50310-1321
Country	:	US
Telephone Number	:	202-790-2340
Fax Number	:

Provider Business Practice Location Address
First Line	:	3839 MERLE HAY RD STE 204
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50310-1321
Country	:	US
Telephone Number	:	202-790-2340
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DIPAK RAJ TIWARI
Credential	:
Telephone Number	:	202-790-2340

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	03/05/2026

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Directions to “EQUACARE LLC ” Practice Location

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