Candlelight in- Home Companion, Inc
Organization Active NPI Home Health Agency · Davenport, IA
NPI 1992950877 · NPPES record last updated Nov 19, 2008
Key facts
- NPI
- 1992950877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CANDLELIGHT IN- HOME COMPANION, INC
- Practice address
- 3901 Marquette St Ste 1G
Davenport, IA 52806-4440 - Phone
- (563) 391-8117
- Fax
- (563) 391-0615
- NPI assigned
- Nov 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Crystal Lynn Guy
- Title
- Owner
- Phone
- (563) 391-8117
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
3901 Marquette St Ste 1G
Davenport, IA 52806-4440
Mailing address
3901 Marquette St Ste 1G
Davenport, IA 52806-4440
Phone (563) 391-8117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X000400375 | Medicaid | IA |
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 Nov 19, 2008. 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.