1. Home
  2. Directory
  3. Iowa
  4. Johnston
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

CHILDSERVE JOHNSTON HOME
NPI 1790983021
Intermediate Care Facility, Intellectual Disabilities in Johnston, IA

Active since July 09, 2007
5555 NW 55TH AVE, JOHNSTON, IA 50131(515) 270-0543 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Childserve Johnston Home NPPES

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

CHILDSERVE JOHNSTON HOME (NPI 1790983021) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Johnston, Iowa and active in the NPI registry since July 2007. The organization lists Rodney Wildrick, Director Of Accounting, as its authorized official.

NPPES Registry Identity

NPI1790983021
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCHILDSERVE HOMES INC.
Location Address5555 NW 55TH AVEJohnston, IA 50131-1367
Mailing AddressPo Box 707Johnston, IA 50131-0707 · (515) 727-8750 · Fax (515) 727-8757
Phone(515) 270-0543
Organization SubpartYesParent: Childserve Inc.
Authorized OfficialRodney WildrickDirector Of Accounting · (515) 727-1468
Enumeration DateJuly 9, 2007
Last NPPES UpdateJuly 23, 2007
✔ NPI 1790983021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in IA · 771151
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

5555 NW 55TH AVE, Johnston, IA 50131
Open in Google Maps ↗

Other Names 1

Doing Business AsChildserve Johnston Home

Other Identifiers 1

Medicaid0882159IA

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 Childserve Homes Inc.'s NPI number?

The NPI number for Childserve Homes Inc. is 1790983021. It was assigned to this organization in the NPPES registry on July 9, 2007. The provider is doing business as Childserve Johnston Home.

Where is Childserve Homes Inc. located?

Childserve Homes Inc. is located at 5555 NW 55th Ave, Johnston, IA 50131. The listed phone number is (515) 270-0543.

What is Childserve Homes Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Childserve Homes Inc. was last updated on July 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.