Childserve Homes Inc. in Johnston - Intermediate Care Facility, Intellectual Disabilities

Childserve Homes Inc. - NPI 1790983021

Childserve Homes Inc. is a Intermediate Care Facility, Intellectual Disabilities in Johnston, Iowa. Childserve Homes Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Childserve Homes Inc. is 1790983021. The last update date is 2007-07-23.

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 1790983021
Provider Enumeration Date 2007-07-09
Last Updated Date 2007-07-23

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, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 771151
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
882159 IA --

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FAQs about Childserve Homes Inc.

What is the unique 10-digit identification 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) 1790983021, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Childserve Homes Inc.'s facilities are geographically located?

The facilities of Childserve Homes Inc. are physically situated at the following location: Po Box 707, Johnston, IA, 501310707.

What is Childserve Homes Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Childserve Homes Inc.'s specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790983021 to Childserve Homes Inc.?

The Childserve Homes Inc. received its 1790983021 assignment from the Centers for Medicare & Medicaid Services on 2007-07-09.

As of what date were the Childserve Homes Inc.'s details last updated?

The information pertaining to the Childserve Homes Inc., including its address, specialty, and other details, was most recently updated on 2007-07-23.

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