Childserve Habilitation Center Icf/Mr

LBN: Childserve Habilitation Center Inc.
Childserve Habilitation Center Icf/Mr 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 / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Childserve Habilitation Center Inc. 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 / Intermediate Care Facility, Mentally Retarded 315P00000X 770916 Iowa

Profile Details

NPI number 1538387857
LBN Legal business name Childserve Habilitation Center Inc.
DBA Doing business as Childserve Habilitation Center Icf/Mr
Authorized official Wildrick, Rodney
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 10th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538387857 NPPES
Iowa MEDICAID 0880138

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