Organization
AMENITY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ADKINS (SVP GENERAL COUNSEL)
(615) 309-5668
Entity
Organization
Contact information
Practice address
5005 BOWLING ST SW STE B, CEDAR RAPIDS, IA 52404-5070
(319) 362-2500
(319) 362-2501
Mailing address
10 CADILLAC DR, SUITE 400, BRENTWOOD, TN 37027-5078
(615) 425-5407
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
STATE DOES NOT ISSUE
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615716
—
IA
01
—
61566
WELLMARK BCBS
IA
01
—
7251528
AETNA
IA
Enumeration date
07/07/2005
Last updated
03/12/2020
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