Provider Demographics
NPI:1871343822
Name:COMPASSIONATE CARE OF DES MOINESLLC
Entity type:Organization
Organization Name:COMPASSIONATE CARE OF DES MOINESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMESETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WRATTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-302-9232
Mailing Address - Street 1:1250 SE 11TH ST APT 8202
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-5169
Mailing Address - Country:US
Mailing Address - Phone:515-302-9232
Mailing Address - Fax:
Practice Address - Street 1:1250 SE 11TH ST APT 8202
Practice Address - Street 2:
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-5169
Practice Address - Country:US
Practice Address - Phone:515-302-9232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care