Provider Demographics
NPI:1184729063
Name:THE COMMUNITY NURSING SERVICE
Entity type:Organization
Organization Name:THE COMMUNITY NURSING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AVES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:641-752-4611
Mailing Address - Street 1:PO BOX 1202
Mailing Address - Street 2:11 NORTH 1ST AVENUE
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-1202
Mailing Address - Country:US
Mailing Address - Phone:641-752-4611
Mailing Address - Fax:641-752-5404
Practice Address - Street 1:11 N 1ST AVE
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4902
Practice Address - Country:US
Practice Address - Phone:641-752-4611
Practice Address - Fax:641-752-5404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670992Medicaid
IA67099OtherWELLMARK BC/BS OF IOWA
IA67099OtherWELLMARK BC/BS OF IOWA
IA0670992Medicaid
IA67099OtherWELLMARK BC/BS OF IOWA