CHILDSERVE HOMES INC. (NPI# 1134261969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134261969 |
| Entity Type | Organization |
| Organization Name | CHILDSERVE HOMES INC. |
| Other Organization Name | CHILDSERVE STONECREST HOME |
| Practice Address |
10305 Stonecrest Drive Johnston IA 50131 |
| Mailing Address |
Po Box 707 Johnston IA 50131-0707 |
| Practice Telephone | 5159860554 |
| Practice Fax Number | 5159860578 |
| Mailing Telephone | 5157278750 |
| Mailing Fax Number | 5157278757 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | RODNEY WILDRICK (DIRECTOR OF ACCOUNTING) |
| Authorized Official Telephone | 5157271468 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDSERVE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 771148 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0882134 | 05 |
| Other Name | Type Code |
|---|---|
| ChildServe Stonecrest Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790983021 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5555 Nw 55th Ave, Johnston, IA 50131-1367 | 2007-07-09 |
| 1710022421 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 6225 Morningside Drive, Johnston, IA 50131 | 2007-02-20 |
| 1861534695 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 2164 Sw 35th St, Ankeny, IA 50023-5901 | 2007-02-12 |
| 1245372077 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 7109 Douglas Ave, Des Moines, IA 50322-3201 | 2007-02-12 |
| 1043352875 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 7161 Wilshire Blvd, Windsor Heights, IA 50322-4823 | 2007-02-12 |
| 1952443780 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 10350 Stone Ridge St, Grimes, IA 50111-2303 | 2007-02-12 |
| 1659412617 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 2712 69th St, Urbandale, IA 50322-4917 | 2007-02-10 |
| 1487795449 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 3610 42nd St, Des Moines, IA 50310-4158 | 2007-02-10 |
| 1457492548 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 2052 Sw 35th St, #25, Ankeny, IA 50023-5900 | 2007-02-09 |
| 1124162532 | Childserve Homes Inc. | Intermediate Care Facility, Mental Illness | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2007-02-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CHILDSERVE HOMES INC. | 5406 Merle Hay Road, Po Box 707, Johnston, IA 50131 |
| Street Address |
10305 STONECREST DRIVE |
| City | JOHNSTON |
| State | IA |
| Zip Code | 50131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011229 | Joseph Barnard | Technician | 6406 Theresa Dr, Johnston, IA 50131 | 2019-09-05 |
| 1073098208 | Heather Nicole Prettyman | Social Worker | 5406 Marle Hay Rd., Johnston, IA 50131 | 2018-10-03 |
| 1982182606 | Dental Studio of Iowa PC | Dentist | 5495 Nw 100th Street, Johnston, IA 50131 | 2018-08-03 |
| 1982063921 | Braincare, LLC | Physiological Laboratory | 6165 Nw 86th St Ste 130, Johnston, IA 50131 | 2016-02-18 |
| 1104293570 | Sarah Michelle Fees | Nurse Practitioner | 8605 Chambery Blvd, Johnston, IA 50131 | 2015-09-01 |
| 1013329978 | Jonathan Jeffrey Karch | Dentist | 5495 Nw 100th St, Johnston, IA 50131 | 2014-05-27 |
| 1053757500 | Patricia L Hart | Social Worker | 6061 Bradford Ln, Johnston, IA 50131 | 2013-05-10 |
| 1205105855 | Lesile Jane Mentele | Pharmacist | 6100 Nw 97th St, Johnston, IA 50131 | 2011-12-27 |
| 1750610812 | Amanda J Moore | Chiropractor | 8671 Northpark Ct, Johnston, IA 50131 | 2009-12-18 |
| 1225293426 | Center for Maximized Living, LLC | Chiropractor | 8671 Northpark Ct., Johnston, IA 50131 | 2008-07-28 |
| Find all providers in zip 50131 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790983021 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5555 Nw 55th Ave, Johnston, IA 50131-1367 | 2007-07-09 |
| 1407972284 | Greater Providence Chapter, Riarc | Intermediate Care Facility, Mentally Retarded | 22 Buratti Rd, Johnston, RI 02919-3217 | 2007-03-22 |
| 1710022421 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 6225 Morningside Drive, Johnston, IA 50131 | 2007-02-20 |
| 1538387857 | Childserve Habilitation Center Inc. | Intermediate Care Facility, Mentally Retarded | 5900 Pioneer Pkwy, Johnston, IA 50131-1569 | 2007-04-23 |
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|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1952767162 | G & G Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 602 Kosciusko St., Guttenberg, IA 52052-0967 | 2016-01-05 |
| 1487920351 | Mosaic | Intermediate Care Facility, Mentally Retarded | 835 S 7th St, Forest City, IA 50436-2127 | 2012-03-26 |
| 1306112271 | Mosaic | Intermediate Care Facility, Mentally Retarded | 102 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1710253687 | Mosaic | Intermediate Care Facility, Mentally Retarded | 105 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1831465715 | Mosaic | Intermediate Care Facility, Mentally Retarded | 315 Country Club Dr, Belmond, IA 50421-1740 | 2012-03-26 |
| 1851666820 | Mosaic | Intermediate Care Facility, Mentally Retarded | 718 S 13th St, Nevada, IA 50201-2435 | 2012-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.