Childserve Homes Inc. in Johnston - Intermediate Care Facility, Mental Illness

Childserve Homes Inc. - NPI 1124162532

Childserve Homes Inc. is a Intermediate Care Facility, Mental Illness in Johnston, Iowa. Childserve Homes Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Childserve Homes Inc. is 1124162532. The last update date is 2010-06-02.

Childserve Homes Inc.'s current location address is Po Box 707, Johnston, Iowa. You can contact this provider via phone number 5157278750 and fax number 5157278757. The mailing address for Childserve Homes Inc. is Po Box 707, Johnston, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Childserve Homes Inc.
Address Po Box 707, Johnston, Iowa
Phone Number 5157278750
Fax Number 5157278757
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Wildrick Rodney
Telephone Number 5157271468

NPI Number Detail

NPI Number 1124162532
Provider Enumeration Date 2007-02-18
Last Updated Date 2010-06-02

Provider Mailing Address Detail

Address Po Box 707
City Johnston
State Iowa (IA)
Post Code 501310707
Phone Number 5157278750
Fax Number 5157278757

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Mental Illness
Taxonomy 310500000X
Definition:
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
122119 IA --

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FAQs about Childserve Homes Inc.

What is the unique 10-digit identifier code assigned to Childserve Homes Inc. by the Centers for Medicare & Medicaid Services?

The Childserve Homes Inc. has been issued the NPI (National Provider Identifier) 1124162532 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Childserve Homes Inc.?

The Childserve Homes Inc. is situated at Po Box 707, in the city of Johnston, state of IA, with the zip code 501310707.

What is Childserve Homes Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Childserve Homes Inc. is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 310500000X.

On what date did Childserve Homes Inc. receive its 1124162532 assignment from the Centers for Medicare & Medicaid Services?

The Childserve Homes Inc. was assigned its 1124162532 on 2007-02-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Childserve Homes Inc. most recently updated or revised?

The information pertaining to Childserve Homes Inc., including its address, specialty, and other relevant details, was last updated or revised on 2010-06-02.

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