1679846752 NPI number — NURSE FORCE HOSPICE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679846752 NPI number — NURSE FORCE HOSPICE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NURSE FORCE HOSPICE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679846752
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2900 WESTOWN PKWY
Provider Second Line Business Mailing Address:
STE 210
Provider Business Mailing Address City Name:
WEST DES MOINES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50266-1315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-224-4566
Provider Business Mailing Address Fax Number:
515-224-1707

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 WESTOWN PKWY
Provider Second Line Business Practice Location Address:
STE 210
Provider Business Practice Location Address City Name:
WEST DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50266-1315
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-224-4566
Provider Business Practice Location Address Fax Number:
515-224-1707
Provider Enumeration Date:
02/20/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GRAGE
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
CLIENT SERVICE DIRECTOR
Authorized Official Telephone Number:
515-224-4566

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)