Provider Demographics
NPI:1316742711
Name:SPECTRUM CARE LLC
Entity type:Organization
Organization Name:SPECTRUM CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANEISHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARRISH-WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-259-3802
Mailing Address - Street 1:P.O BOX 65296
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265
Mailing Address - Country:US
Mailing Address - Phone:515-259-3802
Mailing Address - Fax:
Practice Address - Street 1:801 39TH ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265
Practice Address - Country:US
Practice Address - Phone:515-259-3802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)