Provider Demographics
NPI:1861620460
Name:CARING COMPANION SERVICES OF IOWA
Entity type:Organization
Organization Name:CARING COMPANION SERVICES OF IOWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH CARE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:515-306-6343
Mailing Address - Street 1:3710 56TH ST APT 20
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-1267
Mailing Address - Country:US
Mailing Address - Phone:515-278-4020
Mailing Address - Fax:
Practice Address - Street 1:3710 56TH ST APT 20
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-1267
Practice Address - Country:US
Practice Address - Phone:515-278-4020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA111890251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health