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CHILDSERVE HABILITATION CENTER NPI 1962546374


NPI Information

NPI: 1962546374
Provider Name: CHILDSERVE HABILITATION CENTER
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
5900 PIONEER PKWY
JOHNSTON, IA
ZIP 50131
Phone: (515) 270-2205
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CHILDSERVE HABILITATION CENTER is a nursing care and pediatric skilled nursing facility in Johnston, IA. The provider is 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 restrictive environment. CHILDSERVE HABILITATION CENTER NPI is 1962546374. The provider is registered as an organization entity type.

The provider's business location address is:

5900 PIONEER PKWY
JOHNSTON, IA
ZIP 50131-569
Phone: (515) 270-2205
Fax: (515) 276-0140

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 2/18/2007 and was last updated on 8/22/2020.


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
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric770916IOWAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10659938MEDICAIDIOWA

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: 5/5/2024

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