Center for Active Seniors, Inc.
Organization Active NPI Home Health Agency · Davenport, IA
NPI 1487856928 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1487856928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CENTER FOR ACTIVE SENIORS, INC.
- Practice address
- 1035 W. Kimberly Rd.
Davenport, IA 52806-5709 - Phone
- (563) 386-7477
- Fax
- (563) 386-7376
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Laura Lynn Kopp
- Title
- President/Ceo
- Phone
- (563) 386-7477
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 504RDN000056179 | IA | |
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1035 W. Kimberly Rd.
Davenport, IA 52806-5709
Mailing address
1035 W. Kimberly Rd.
Davenport, IA 52806-5709
Phone (563) 386-7477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068320 | Medicaid | IA |
Other names
- Center for Aging Services, Inc.
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.