Childserve Habilitation Center in Johnston - Nursing Care, Pediatric
Childserve Habilitation Center - NPI 1962546374
Childserve Habilitation Center is a Nursing Care, Pediatric in Johnston, Iowa. Childserve Habilitation Center practices all healthcare services and medical treatments related to Nursing Care, Pediatric. The NPI Number for Childserve Habilitation Center is 1962546374. The last update date is 2020-08-22.
Childserve Habilitation Center'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 Habilitation Center is Po Box 707, Johnston, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Childserve Habilitation Center |
|---|---|
| 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 | 1962546374 |
|---|---|
| Provider Enumeration Date | 2007-02-18 |
| Last Updated Date | 2020-08-22 |
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 | Nursing Care, Pediatric |
|---|---|
| Taxonomy | 3140N1450X |
| Licence No | 770916 |
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Definition: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restri |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 659938 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Childserve Habilitation Center by the Centers for Medicare & Medicaid Services (CMS)?
The Childserve Habilitation Center has been assigned the NPI (National Provider Identifier) 1962546374. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Childserve Habilitation Center is geographically located?
The Childserve Habilitation Center is physically situated at the following location: Po Box 707, Johnston, IA, 501310707.
What is Childserve Habilitation Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Childserve Habilitation Center's area of specialization is Nursing Care, Pediatric, and the corresponding taxonomy code that categorizes this field of practice is 3140N1450X.
On what date did the Childserve Habilitation Center receive the assignment of its 1962546374 from the Centers for Medicare & Medicaid Services?
The Childserve Habilitation Center was issued its 1962546374 by the Centers for Medicare & Medicaid Services on 2007-02-18.
As of what date was the information pertaining to Childserve Habilitation Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Childserve Habilitation Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.