Provider Demographics
NPI:1467676957
Name:CAREAGE HOME CARE LLC
Entity type:Organization
Organization Name:CAREAGE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-225-5129
Mailing Address - Street 1:212 W BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-1817
Mailing Address - Country:US
Mailing Address - Phone:712-225-5129
Mailing Address - Fax:712-225-6276
Practice Address - Street 1:212 W BLUFF ST
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-1817
Practice Address - Country:US
Practice Address - Phone:712-225-5129
Practice Address - Fax:712-225-6276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1467676957Medicaid
IA167405Medicare Oscar/Certification