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CAP SUPPORTED COMMUNITY LIVING
NPI 1669784104
Community/Behavioral Health in Des Moines, IA

Active since July 13, 2010
1801 HICKMAN RD, DES MOINES, IA 50314(515) 282-6810 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cap Supported Community Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAP SUPPORTED COMMUNITY LIVING (NPI 1669784104) is a healthcare organization registered as a community/behavioral health in Des Moines, Iowa and active in the NPI registry since July 2010. The organization lists Vincent J Mandracchia, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1669784104
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBROADLAWNS MEDICAL CENTER
Location Address1801 HICKMAN RDDes Moines, IA 50314
Mailing Address1801 Hickman RdDes Moines, IA 50314 · (515) 282-6810
Phone(515) 282-6810
Organization SubpartNo
Authorized OfficialVincent J MandracchiaChief Medical Officer · (515) 282-2562
Enumeration DateJuly 13, 2010
✔ NPI 1669784104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1801 HICKMAN RD, Des Moines, IA 50314
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Other Names 1

Other NameCap Supported Community Living

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW HELMICK WILLIAMS D.O.
Family Medicine
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-5640
ALEX YEONWOO KIM DO
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
CAMERON MATTHIAS GREINER DO
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
MARK DYKEN MD
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
KELLI GREEN MD
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314
Polk County (515) 282-2319
KATRINA COEN
Pharmacist
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2378
NICOLE RENEE SLIVA OTR/L
Occupational Therapist
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-5621
GARY HUDSON PA-C
Physician Assistant
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadlawns Medical Center's NPI number?

The NPI number for Broadlawns Medical Center is 1669784104. It was assigned to this organization in the NPPES registry on July 13, 2010. The provider is also known as Cap Supported Community Living.

Where is Broadlawns Medical Center located?

Broadlawns Medical Center is located at 1801 Hickman Rd, Des Moines, IA 50314. The listed phone number is (515) 282-6810.

What is Broadlawns Medical Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Broadlawns Medical Center was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.