Childserve Homes Scl Waiver

LBN: Childserve Homes Inc.
Childserve Homes Scl Waiver is an health care organization with primary practice located at 5406 Merle Hay Rd , Johnston IA 50131-1209. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Childserve Homes Inc. can be contacted via phone (515) 727-8750, or through Wildrick, Rodney via phone (515) 727-1468.

Contact Information

Primary practice address
5406 Merle Hay Rd Johnston IA 50131-1209
Phone: (515) 727-8750
Fax: (515) 727-8757
Website:
Map and Directions
Authorized official contact:
Name: Wildrick, Rodney
Phone: (515) 727-1468

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X

Profile Details

NPI number 1124162532
LBN Legal business name Childserve Homes Inc.
DBA Doing business as Childserve Homes Scl Waiver
Authorized official Wildrick, Rodney
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 18th, 2007
Last updated Jun 2nd, 2010 - about 16 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 1124162532 NPPES
Iowa MEDICAID 0122119

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