Provider Demographics
NPI:1154140846
Name:GUIDANCE HOME CARE CORPORATION
Entity type:Organization
Organization Name:GUIDANCE HOME CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANOMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-346-4530
Mailing Address - Street 1:5465 MILLS CIVIC PKWY
Mailing Address - Street 2:UNIT 337
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5328
Mailing Address - Country:US
Mailing Address - Phone:515-346-4530
Mailing Address - Fax:
Practice Address - Street 1:5465 MILLS CIVIC PKWY
Practice Address - Street 2:UNIT 337
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5328
Practice Address - Country:US
Practice Address - Phone:515-346-4530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care