NPI 1508014408 · live from the CMS NPI Registry
Candlelight Services LLC
Home Health in Davenport, IA. National Provider Identifier 1508014408, active.
NPI record
| NPI | 1508014408 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 3901 N Marquette, Suite 1g, Davenport, IA 52806 |
| Practice phone | 563-391-8117 |
| Mailing address | 3901 Marquette St, Suite 1g, Davenport, IA 52806 |
| Enumerated | September 4, 2008 |
| Last updated | September 4, 2008 |
| Authorized official | Nathan Kimbrough, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | — |
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.