AMERISERVE INTERNATIONAL II, INC. (NPI# 1992353411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992353411 |
| Entity Type | Organization |
| Organization Name | AMERISERVE INTERNATIONAL II, INC. |
| Practice Address |
35 Main Pl Ste 300 Council Bluffs IA 51503-0702 |
| Practice Telephone | 7123220272 |
| Practice Fax Number | 7123220272 |
| Mailing Telephone | 7123220272 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | STEVEN B PEARSON (TREASURER) |
| Authorized Official Telephone | 7123220272 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERISERVE INTERNATIONAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 203641 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | AMERISERVE INTERNATIONAL II, INC. | 35 Main Place Suite 300, Iowa, Council Bluffs, IA 51503 |
| Street Address |
35 MAIN PL STE 300 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-0702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568997179 | Ameriserve International of Nebraska, Inc. | Community/Behavioral Health | 35 Main Pl Ste 300, Council Bluffs, IA 51503-0702 | 2017-04-21 |
| 1912555426 | Ameriserve International, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Main Pl Ste 300, Council Bluffs, IA 51503-0702 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518302801 | The Phoenix Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 S 37th St Apt F, Council Bluffs, IA 51501-3284 | 2013-05-01 |
| 1720331739 | The Collaborative Adult Relationship Experiences Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2649 Avenue B, Council Bluffs, IA 51501-2105 | 2012-10-16 |
| 1447312780 | Rem Iowa Community Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Main Pl Ste 450, Council Bluffs, IA 51503-0797 | 2006-12-14 |
| 1912555426 | Ameriserve International, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Main Pl Ste 300, Council Bluffs, IA 51503-0702 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040111 | Ability United LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 N Adams St, Carroll, IA 51401-2821 | 2020-04-01 |
| 1881045706 | Golden Touch Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7618 Hickman Rd, Windsor Heights, IA 50324-4510 | 2016-06-22 |
| 1407115645 | Anchor Homes, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 501 N 15th St, Clarinda, IA 51632-1632 | 2012-05-09 |
| 1306115365 | Community Living Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8517 Airline Ave, Urbandale, IA 50322-2317 | 2011-12-21 |
| 1033414826 | Tandem Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Ave Ste D2, Des Moines, IA 50310-5804 | 2011-01-25 |
| 1720284524 | Comprehensive Systems, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1700 Clark Street, Charles City, IA 50616-0457 | 2007-06-27 |
| 1174658637 | Crossroads Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1424 Houser St, Muscatine, IA 52761-2235 | 2007-02-23 |
| 1265578439 | Discovery Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 220 Northland Ct Ne, Cedar Rapids, IA 52402-6226 | 2007-01-29 |
| 1619023488 | Link Associates | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1452 29th St, West Des Moines, IA 50266-1306 | 2007-01-26 |
| 1225182496 | Horizons Unlimited of Pac, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3826 460th Ave, Emmetsburg, IA 50536-8582 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.