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Childserve Homes Inc.
Intellectual Disabilities Intermediate Care Facility in Johnston, Iowa
NPI 1790983021

Childserve Homes Inc. is a Intellectual Disabilities Intermediate Care Facility based in Johnston, IA. Childserve Homes Inc. practices in Johnston, IA. The NPI Number for Childserve Homes Inc. is 1790983021 and holds a License No. 771151 (Iowa).

The current practice location address for Childserve Homes Inc. is 5555 Nw 55Th Ave, Johnston, IA and can be reached out via phone at 515-270-0543.

Location: 5555 Nw 55Th Ave, Johnston, IA, 50131-0707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790983021
Provider Name
Childserve Homes Inc.
Credential
Provider Entity Type
Organization
Address
5555 Nw 55Th Ave, Johnston, IA, 50131-0707
Phone Number
515-270-0543
Fax Number
Provider Enumeration Date
07/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0882159 05 IA
institution
Provider Business Practice Location Address Details
Address
5555 Nw 55Th Ave
City
Johnston
State
Iowa
Zip
50131-1367
Phone Number
515-270-0543
Fax Number
person
Provider Business Mailing Address Details
Address
5555 Nw 55Th Ave
City
Johnston
State
Iowa
Zip
50131-1367
Phone Number
515-270-0543
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
771151 (Iowa)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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