Davenport Iowa Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DAVENPORT IOWA HOMECARE LLC

Practice address

1895 Middle Road
Suite 201
Bettendorf, IA 52722-7601

Phone

(309) 781-0499

NPI assigned

Jun 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Betsey Ann Morthland, PHD

Title

Executive Director

Phone

(309) 781-0499

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1699399642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 MIDDLE ROAD",
            "address_2": "SUITE 201",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227601",
            "telephone_number": "309-781-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MIDDLE ROAD",
            "address_2": "SUITE 201",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227601",
            "telephone_number": "309-781-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT IOWA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "MORTHLAND",
        "authorized_official_first_name": "BETSEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-781-0499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karly Rae Dankert, PA-C
• Dianna Marie Darland, LMT, DC
• Darryl C Johnson DO PC
• Kara Dasso, DPT
• Kailie Daum, PT
• Connor Davenport, MD
• William Davidson III, M.D.
• Samuel Mark Davis, PHARMACIST
• Lori De Simone, PTA
• Victor Lloyd Dean IV, BS, MS, DC

• In Home Supportive Care Agency in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• In Home Supportive Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.