OrganizationActive
Care Initiatives
NPI 1306816848 · Skilled Nursing Facility · Odebolt, IA
Provider details
- NPI number
- 1306816848
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Dixon, Svp/Cfo(515) 224-4442
- License
- 810297 (IA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
801 S Des Moines St
Odebolt, IA 51458-1017
Phone: (712) 668-4867
Fax: (712) 668-2624
Approximate (ZIP-level) locationGet directions
Mailing address
1611 W Lakes Pkwy
West Des Moines, IA 50266-8212
Other names (DBA / former)
- Doing business as
- Odebolt Specialty Care
- Doing business as
- Odebolt Specialty Care
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2022-11-09
- Certified
- 2022-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.