CHILDSERVE HOMES INC. (NPI# 1861534695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861534695 |
| Entity Type | Organization |
| Organization Name | CHILDSERVE HOMES INC. |
| Other Organization Name | CHILDSERVE ANKENY DUPLEX |
| Practice Address |
2164 Sw 35th St Ankeny IA 50023-5901 |
| Mailing Address |
Po Box 707 Johnston IA 50131-0707 |
| Practice Telephone | 5152892513 |
| Practice Fax Number | 5152891410 |
| 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 | 771152 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0882126 | 05 |
| Other Name | Type Code |
|---|---|
| ChildServe Ankeny Duplex | 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 |
| 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 |
| 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 |
2164 SW 35TH ST |
| City | ANKENY |
| State | IA |
| Zip Code | 50023-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
| 1104457126 | Achieve Tms Centers Central PC | Psychiatry & Neurology | 1517 N. Ankeny Blvd., Suite E, Ankeny, IA 50023 | 2020-01-29 |
| 1023663994 | Janet Lynn Rieckhoff | Counselor | 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 | 2019-08-07 |
| 1790344158 | Jacquelyn Olson Leech | Counselor | 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 | 2019-06-10 |
| 1063077717 | Benjamin Kohler | Chiropractor | 1201 Sw State St, Suite 101, Ankeny, IA 50023 | 2019-05-08 |
| 1831657857 | Michael E Mcinroy | Counselor | 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 | 2019-03-08 |
| 1396231825 | Catherine Walters | Counselor | 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 | 2018-07-09 |
| 1053804617 | Ankeny Family Counseling | Counselor | 2301 W. 1st St. #4, Ankeny, IA 50023 | 2018-06-08 |
| 1952831521 | Michael Weston Sinklier | Family Medicine | 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 | 2017-06-15 |
| Find all providers in zip 50023 | ||||
| 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 |
|---|---|---|---|---|
| 1457492548 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 2052 Sw 35th St, #25, Ankeny, IA 50023-5900 | 2007-02-09 |
| 1609917780 | Childserve Homes | Intermediate Care Facility, Mentally Retarded | 1101 Nw Greenwood St, Ankeny, IA 50023-1016 | 2007-02-09 |
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|---|---|---|---|---|
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| 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 |
| Find all providers with the same taxonomy | ||||
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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.