Provider Demographics
NPI:1215900741
Name:CARE INITIATIVES
Entity type:Organization
Organization Name:CARE INITIATIVES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO/SVP
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-224-4442
Mailing Address - Street 1:1611 W LAKES PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8212
Mailing Address - Country:US
Mailing Address - Phone:515-224-4442
Mailing Address - Fax:515-224-0960
Practice Address - Street 1:2401 CRESTVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-9700
Practice Address - Country:US
Practice Address - Phone:641-673-3000
Practice Address - Fax:641-673-5987
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE INITIATIVES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-07
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA620117314000000X, 332BP3500X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0808220Medicaid
IA0808220Medicaid
IA0117697Medicaid
IA0743850028Medicare NSC