Organization
CARE INITIATIVES
Active
Other names
Heritage Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIXON (CFO/SVP)
(515) 224-4442
Entity
Organization
Contact information
Practice address
200 CLIVE DR SW, CEDAR RAPIDS, IA 52404-1324
(319) 396-7171
(319) 396-7789
Mailing address
1611 WEST LAKES PARKWAY, WEST DES MOINES, IA 50266-8212
(515) 224-4442
(515) 224-0960
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
570110
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0653105
—
IA
05
—
0808154
—
IA
Enumeration date
02/03/2006
Last updated
11/09/2022
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