Provider Demographics
NPI:1972573145
Name:ULTIMATE NURSING SERVICES OF IOWA, LLC
Entity type:Organization
Organization Name:ULTIMATE NURSING SERVICES OF IOWA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-850-0042
Mailing Address - Street 1:3345 106TH CIR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3740
Mailing Address - Country:US
Mailing Address - Phone:515-280-2160
Mailing Address - Fax:866-422-5272
Practice Address - Street 1:3345 106TH CIR
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3740
Practice Address - Country:US
Practice Address - Phone:515-280-2160
Practice Address - Fax:866-422-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA167328OtherMEDICARE OSCAR/CERTIFICATION
IA0672493Medicaid
IA0706429Medicaid
167249OtherMEDICARE OSCAR/CERTIFICATION
IA167325OtherMEDICARE OSCAR/CERTIFICATION
IA0670003Medicaid
167325OtherMEDICARE ID
167325OtherMEDICARE OSCAR/CERTIFICATION
IA0670004Medicaid
IA167325Medicare Oscar/Certification