Organization
A-1 HOME HEALTHCARE SERVICE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE C LIND (PRESIDENT)
(515) 955-1654
Entity
Organization
Contact information
Practice address
2915 INGERSOLL AVE, DES MOINES, IA 50312-4014
(515) 277-9500
(515) 277-0982
Mailing address
2915 INGERSOLL AVE, DES MOINES, IA 50312-4014
(515) 277-9500
(515) 277-0982
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5856
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128371
IOWA MEDICAID WAIVER NO
IA
05
—
1159798
—
IA
01
—
19057
BLUE CROSS PROVIDER NO
IA
Enumeration date
06/15/2006
Last updated
08/22/2020
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