Adolescent Residentialtreatment For Community

LBN: House Of Mercy
Adolescent Residentialtreatment For Community is an health care organization with primary practice located at 1409 Clark St , Des Moines IA 50314-1964. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. House Of Mercy can be contacted via phone (515) 643-6525, or through Beveridge, Todd via phone (515) 247-3265.

Contact Information

Primary practice address
1409 Clark St Des Moines IA 50314-1964
Phone: (515) 643-6525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beveridge, Todd
Phone: (515) 247-3265

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1861615403
LBN Legal business name House Of Mercy
DBA Doing business as Adolescent Residentialtreatment For Community
Authorized official Beveridge, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861615403 NPPES
Iowa MEDICAID 1102962

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