National Provider Identifier Database

CHILDSERVE COMMUNITY OPTIONS INC
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

CHILDSERVE COMMUNITY OPTIONS, INC.
5406 MERLE HAY RD
JOHNSTON, IA50131-1209
Phone: 515-727-8750
Fax: 515-727-8757
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X
Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for CHILDSERVE COMMUNITY OPTIONS, INC.

NPI Number 1114061520
Legal business name
LBN
CHILDSERVE COMMUNITY OPTIONS, INC.
Authorized official RODNEY WILDRICK - (DIRECTOR OF ACCOUNTING)
Entity Organization
Organization subpart Yes
Enumeration date 02/18/2007
Last updated 09/01/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 0131904

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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