Provider Type Icon

CHILDSERVE HOMES NPI 1609917780


NPI Information

NPI: 1609917780
Provider Name: CHILDSERVE HOMES

Doing Business As: CHILDSERVE ANKENY HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1101 NW GREENWOOD ST
ANKENY, IA
ZIP 50023
Phone: (515) 965-2912
Get Directions

CHILDSERVE HOMES is an intermediate care facility mentally retarded in Ankeny, IA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CHILDSERVE HOMES NPI is 1609917780. The provider is registered as an organization entity type.
The provider Is Doing Business As Childserve Ankeny Home.

The provider's business location address is:

1101 NW GREENWOOD ST
ANKENY, IA
ZIP 50023-016
Phone: (515) 965-2912
Fax: (515) 965-2916

The provider's authorized official is Rodney Wildrick .
The authorized official title is Director Of Accounting and has the following contact phone number (515) 727-1468.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 7/10/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities770385IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10881326MEDICAIDIOWA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.