Organization
CHILDSERVE HOMES INC.
Active
Other names
ChildServe Keystone Home
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY WILDRICK (DIRECTOR OF ACCOUNTING)
(515) 727-1468
Entity
Organization
Contact information
Practice address
10350 STONE RIDGE ST, GRIMES, IA 50111-2303
(515) 986-0554
(515) 986-0578
Mailing address
PO BOX 707, JOHNSTON, IA 50131-0707
(515) 727-8750
(515) 727-8757
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
771149
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0882118
—
IA
Enumeration date
02/12/2007
Last updated
07/23/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us