Active NPI
Clayton Care Corp
- Adult Care Home Facility
- Des Moines, IA
National Provider Identifier
1063586162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 770488
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0896407 | Medicaid | IA |
Other names 1
- City View Residential
National Provider Directory
National Provider Directory- Tax ID family
- City View Residential
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Des Moines, IA
- NPI 1588875272
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.