COMMUNITY OUTREACH SERVICES, LLC (NPI# 1386861045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386861045 |
| Entity Type | Organization |
| Organization Name | COMMUNITY OUTREACH SERVICES, LLC |
| Practice Address |
5870 Merle Hay Rd Suite D Johnston IA 50131-2816 |
| Mailing Address |
Po Box 816 Johnston IA 50131-0816 |
| Practice Telephone | 5153091204 |
| Practice Fax Number | 5153092525 |
| Mailing Telephone | 5153091204 |
| Mailing Fax Number | 5153092525 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES E BUSTAMANTE (CLINIC DIRECTOR) |
| Authorized Official Telephone | 5157270702 |
| Authorized Official Credential | MA, LMHC, LPHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1011312 | 05 | |
| IA | 0469106 | 05 | |
| IA | 0011312 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740470343 | Community Outreach Services, LLC | Community/Behavioral Health | 5870 Merle Hay Rd, Suite D, Johnston, IA 50131-2816 | 2007-07-30 |
| 1568652162 | Community Outreach Services, LLC | Community/Behavioral Health | 5870 Merle Hay Rd, Suite D, Johnston, IA 50131-2816 | 2007-07-30 |
| Street Address |
5870 MERLE HAY RD SUITE D |
| City | JOHNSTON |
| State | IA |
| Zip Code | 50131-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740470343 | Community Outreach Services, LLC | Community/Behavioral Health | 5870 Merle Hay Rd, Suite D, Johnston, IA 50131-2816 | 2007-07-30 |
| 1568652162 | Community Outreach Services, LLC | Community/Behavioral Health | 5870 Merle Hay Rd, Suite D, Johnston, IA 50131-2816 | 2007-07-30 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790219608 | Tri-county Community Action Agency | Community/Behavioral Health | 1126 Hartford Ave, Johnston, RI 02919-7109 | 2017-04-18 |
| 1922453364 | The Saint Dymphna Center for Counseling and Family Therapy | Community/Behavioral Health | 6165 Nw 86th St, Johnston, IA 50131-2270 | 2016-05-03 |
| 1073973087 | Red Couch Counseling LLC | Community/Behavioral Health | 6165 Nw 86th St, Johnston, IA 50131-2270 | 2016-03-03 |
| 1710347232 | Dr. Heidi Warner Counseling and Consulting, PC | Community/Behavioral Health | 6165 Nw 86th St, Johnston, IA 50131-2270 | 2016-02-25 |
| 1891969747 | Gateway Healthcare, Inc | Community/Behavioral Health | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2008-04-22 |
| 1740470343 | Community Outreach Services, LLC | Community/Behavioral Health | 5870 Merle Hay Rd, Suite D, Johnston, IA 50131-2816 | 2007-07-30 |
| 1568652162 | Community Outreach Services, LLC | Community/Behavioral Health | 5870 Merle Hay Rd, Suite D, Johnston, IA 50131-2816 | 2007-07-30 |
| 1053514935 | Tri-town Economic Opportunity | Community/Behavioral Health | 1126 Hartford Ave, Johnston, RI 02919-7130 | 2007-06-07 |
| 1780887661 | Tri-town Economic Opportunity Committee | Community/Behavioral Health | 1126 Hartford Ave, Johnston, RI 02919-7130 | 2007-06-07 |
| 1568587368 | The Autism Project | Community/Behavioral Health | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2007-03-20 |
| Find all providers in JOHNSTON | ||||
Please comment or provide details below to improve the information on COMMUNITY OUTREACH SERVICES, LLC.
| 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.