COMMUNITY NEUROREHAB OF IOWA NPI 1750696852

NPI Information

NPI: 1750696852
Provider Name: COMMUNITY NEUROREHAB OF IOWA

Doing Business As: COMMUNITY NEUROREHAB

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3000 SW 37TH ST
DES MOINES, IA
ZIP 50321
Phone: (515) 288-8222
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COMMUNITY NEUROREHAB OF IOWA is a community based residential treatment facility mental illness in Des Moines, IA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COMMUNITY NEUROREHAB OF IOWA NPI is 1750696852. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Neurorehab.

The provider's business location address is:

3000 SW 37TH ST
DES MOINES, IA
ZIP 50321-330
Phone: (515) 288-8222

The provider's authorized official is Stephen L Polkow .
The authorized official title is President and has the following contact phone number (415) 209-9802.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 8/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		771045	IOWA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		771045	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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