Childserve Beaverdale Home
LBN: Childserve Homes Inc.
Childserve Beaverdale Home is an health care organization with primary practice located at 3610 42Nd St , Des Moines IA 50310-4158. 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 Homes Inc. can be contacted via phone (515) 274-9448, or through Wildrick, Rodney via phone (515) 727-1468.
Contact Information
Primary practice address
3610 42Nd St
Des Moines IA 50310-4158
Phone: (515) 274-9448
Fax: (515) 274-8326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | 770677 | Iowa |
Profile Details
| NPI number | 1487795449 |
|---|---|
| LBN Legal business name | Childserve Homes Inc. |
| DBA Doing business as | Childserve Beaverdale Home |
| Authorized official | Wildrick, Rodney |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487795449 | NPPES |
| Iowa | MEDICAID | 0881425 |
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