Provider Demographics
NPI:1669334306
Name:CARE SERAVIO LLC
Entity type:Organization
Organization Name:CARE SERAVIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REMI
Authorized Official - Middle Name:M
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-693-8577
Mailing Address - Street 1:2814 MARY DR APT 1
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-2809
Mailing Address - Country:US
Mailing Address - Phone:319-693-8577
Mailing Address - Fax:319-775-5033
Practice Address - Street 1:4425 N RIVER BLVD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52411-6674
Practice Address - Country:US
Practice Address - Phone:319-693-8577
Practice Address - Fax:319-693-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility