Childserve Johnston Home

LBN: Childserve Homes Inc.
Childserve Johnston Home is an health care organization with primary practice located at 5555 Nw 55Th Ave , Johnston IA 50131-1367. 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) 270-0543, or through Wildrick, Rodney via phone (515) 727-1468.

Contact Information

Primary practice address
5555 Nw 55Th Ave Johnston IA 50131-1367
Phone: (515) 270-0543
Fax:
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 771151 Iowa

Profile Details

NPI number 1790983021
LBN Legal business name Childserve Homes Inc.
DBA Doing business as Childserve Johnston Home
Authorized official Wildrick, Rodney
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 9th, 2007
Last updated Jul 23rd, 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 1790983021 NPPES
Iowa MEDICAID 0882159

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