Childserve Habilitation Center

LBN: Childserve Habilitation Center
Childserve Habilitation Center is an health care organization with primary practice located at 5900 Pioneer Pkwy , Johnston IA 50131-1569. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Care, Pediatric, which is considered as the primary health care specialty. Childserve Habilitation Center can be contacted via phone (515) 270-2205, or through Wildrick, Rodney via phone (515) 727-1468.

Contact Information

Primary practice address
5900 Pioneer Pkwy Johnston IA 50131-1569
Phone: (515) 270-2205
Fax: (515) 276-0140
Website:
Map and Directions
Authorized official contact:
Name: Wildrick, Rodney
Phone: (515) 727-1468

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X 770916 Iowa

Profile Details

NPI number 1962546374
LBN Legal business name Childserve Habilitation Center
DBA Doing business as
Authorized official Wildrick, Rodney
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962546374 NPPES
Iowa MEDICAID 0659938

Popular Providers