Provider Demographics
NPI:1043902364
Name:IOWA COMPASS CARE
Entity type:Organization
Organization Name:IOWA COMPASS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNEDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIPROP
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:515-556-0394
Mailing Address - Street 1:14014 BUENA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50323-2132
Mailing Address - Country:US
Mailing Address - Phone:515-556-0391
Mailing Address - Fax:
Practice Address - Street 1:14014 BUENA VISTA DR
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50323-2132
Practice Address - Country:US
Practice Address - Phone:515-556-0391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health