CHILDSERVE HOMES INC. (NPI# 1245372077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245372077 |
| Entity Type | Organization |
| Organization Name | CHILDSERVE HOMES INC. |
| Other Organization Name | CHILDSERVE DOUGLAS HOME |
| Practice Address |
7109 Douglas Ave Des Moines IA 50322-3201 |
| Mailing Address |
Po Box 707 Johnston IA 50131-0707 |
| Practice Telephone | 5157278726 |
| Practice Fax Number | 5157278727 |
| 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 | 770972 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0881482 | 05 |
| Other Name | Type Code |
|---|---|
| ChildServe Douglas 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 |
| 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 |
| 1134261969 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 10305 Stonecrest Drive, Johnston, IA 50131 | 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 |
7109 DOUGLAS AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50322-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| 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 |
|---|---|---|---|---|
| 1487795449 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 3610 42nd St, Des Moines, IA 50310-4158 | 2007-02-10 |
| 1144372087 | Mosaic | Intermediate Care Facility, Mentally Retarded | 404 Sw Rose, Des Moines, IA 50315-0000 | 2007-01-18 |
| 1699827535 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1502 Mattern, Des Moines, IA 50316-0000 | 2007-01-18 |
| 1447302385 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1501 Sw Lewis, Des Moines, IA 50315-0000 | 2007-01-18 |
| 1508918442 | Mosaic | Intermediate Care Facility, Mentally Retarded | 505 Sw Leland, Des Moines, IA 50315-0000 | 2007-01-18 |
| 1245382183 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1429 Sw Payton, Des Moines, IA 50315-0000 | 2007-01-18 |
| 1174675011 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1231 40th Street, Des Moines, IA 50311-0000 | 2007-01-18 |
| 1972655819 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2317 Vine Street, Des Moines, IA 50265-0000 | 2007-01-18 |
| 1336291277 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2515 East Tiffin, Des Moines, IA 50317-0000 | 2007-01-18 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50322 |
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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.