COMMUNITY NEUROREHAB OF IOWA (NPI# 1750696852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750696852 |
| Entity Type | Organization |
| Organization Name | COMMUNITY NEUROREHAB OF IOWA |
| Other Organization Name | COMMUNITY NEUROREHAB |
| Practice Address |
3000 Sw 37th St Des Moines IA 50321-1330 |
| Practice Telephone | 5152888222 |
| Mailing Telephone | 5152888222 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | MR. STEPHEN L POLKOW (PRESIDENT) |
| Authorized Official Telephone | 4152099802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 771045 | IA | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 771045 | IA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Community NeuroRehab | Doing Business As Name - Organization |
| Street Address |
3000 SW 37TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50321-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518478916 | Anna Marie Bergida | Counselor | 5875 Fleur Dr, Des Moines, IA 50321 | 2017-10-12 |
| 1780842864 | Allison Christine Carlson | Chiropractor | 4600 Park Ave, Des Moines, IA 50321-1237 | 2008-05-27 |
| 1588961668 | Carlson Chiropractic Pllc | Chiropractor | 4600 Park Ave, Des Moines, IA 50321-1237 | 2011-02-25 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| 1942714514 | Donald Joseph Anderson | Surgery | 3317 Southern Hills Dr, Des Moines, IA 50321-1434 | 2017-11-19 |
| 1235461286 | Thomas Patrick Reynolds | Counselor | 3615 Thornton Ave, Des Moines, IA 50321-1845 | 2010-02-02 |
| 1023210671 | Marwin E. Goff | Dentist | 3906 Wolcott Ave, Des Moines, IA 50321-1868 | 2007-06-05 |
| 1285986711 | Jordan Samuelson | Counselor | 4100 Wolcott Ave, Des Moines, IA 50321-1872 | 2012-10-08 |
| 1134426331 | Harbor View Medical | Physical Medicine & Rehabilitation | 6151 Thornton Ave., Suite 200, Des Moines, IA 50321-1900 | 2011-02-24 |
| 1639425184 | Elizabeth R Proctor | Speech-Language Pathologist | 3001 Thornton Ave, Des Moines, IA 50321-2020 | 2012-08-01 |
| Find all providers in zip 50321 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184745424 | Urban Dreams | Community Based Residential Treatment Facility, Mental Illness | 1410 6th Ave, Des Moines, IA 50314-2801 | 2007-04-03 |
| 1609951144 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1812 Oakland Ave, Des Moines, IA 50314-3329 | 2006-10-25 |
| 1336224872 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1730 Arlington Ave, Des Moines, IA 50314-3311 | 2006-10-25 |
| 1437542180 | Latoya Ware | Community Based Residential Treatment Facility, Mental Illness | 1725 6th Ave, Des Moines, IA 50314-3304 | 2015-03-05 |
| 1861615403 | House of Mercy | Community Based Residential Treatment Facility, Mental Illness | 1409 Clark St, Des Moines, IA 50314-1964 | 2007-04-11 |
| 1427133966 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1812 Oakland Ave, Des Moines, IA 50314-3329 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174976757 | North Iowa Juvenile Detention Services | Community Based Residential Treatment Facility, Mental Illness | 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2016-07-19 |
| 1982096608 | Resources for Human Development,inc. | Community Based Residential Treatment Facility, Mental Illness | 1146 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1274 | 2015-03-04 |
| 1447658984 | Judy Alexander | Community Based Residential Treatment Facility, Mental Illness | 2219 W Hills Dr, Fairfield, IA 52556-4739 | 2014-12-16 |
| 1861824617 | Kingston Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 12th St Nw, Cedar Rapids, IA 52405-3913 | 2013-08-04 |
| 1043554629 | Dac, Inc | Community Based Residential Treatment Facility, Mental Illness | 18720 250th Ave, Bellevue, IA 52031-8202 | 2012-11-20 |
| 1093937260 | Scenic Acres | Community Based Residential Treatment Facility, Mental Illness | 23105 Granite Avenue, Saint Olaf, IA 52074-8049 | 2007-05-03 |
| 1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
| 1104951193 | Partnership for Progress | Community Based Residential Treatment Facility, Mental Illness | 60191 Willow St, Atlantic, IA 50022-8172 | 2007-02-22 |
| 1134264807 | Exceptional Persons, Inc | Community Based Residential Treatment Facility, Mental Illness | 1210 Idaho St, Waterloo, IA 50703-4328 | 2007-02-21 |
| 1558402271 | Mosaic | Community Based Residential Treatment Facility, Mental Illness | 600 9th Avenue, Council Bluffs, IA 51501-0000 | 2007-02-08 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50321 |
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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.