Organization Active NPI

Clayton Care Corp

  • Adult Care Home Facility
  • Des Moines, IA
National Provider Identifier
1063586162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
770488 Issued in IA
Legal business name
CLAYTON CARE CORP
Practice address
1725 6TH Ave
Des Moines, IA 50314-3304
Phone
(515) 282-8457
Fax
(515) 883-2694
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Christy Marie Bedford
Title
Admin Asst
Phone
(515) 282-8457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 770488 IA Primary

Addresses

Primary practice location

1725 6TH Ave
Des Moines, IA 50314-3304

Mailing address

1725 6TH Ave
Des Moines, IA 50314-3304
Phone (515) 282-8457

Other identifiers 1

IdentifierTypeStateIssuer
0896407MedicaidIA

Other names 1

  • City View Residential Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City View Residential2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063586162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143304",
            "telephone_number": "515-282-8457",
            "fax_number": "515-883-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143304",
            "telephone_number": "515-282-8457",
            "fax_number": "515-883-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEDFORD",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "515-282-8457",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IA",
            "license": "770488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896407",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City View Residential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.