Cedar Valley Community Support Services

LBN: Cedar Valley Community Support Services
Cedar Valley Community Support Services is an health care organization with primary practice located at 3121 Brockway Rd , Waterloo IA 50701-5103. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Cedar Valley Community Support Services can be contacted via phone (319) 233-1288, or through Mamodaly, Anize via phone (319) 233-1288.

Contact Information

Primary practice address
3121 Brockway Rd Waterloo IA 50701-5103
Phone: (319) 233-1288
Fax: (319) 233-1461
Website:
Map and Directions
Authorized official contact:
Name: Mamodaly, Anize
Phone: (319) 233-1288

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1164505756
LBN Legal business name Cedar Valley Community Support Services
DBA Doing business as
Authorized official Mamodaly, Anize
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164505756 NPPES
Iowa MEDICAID 0250043
Iowa MEDICAID 0249854
Iowa MEDICAID 0741280

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