Central Iowa Residential Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CENTRAL IOWA RESIDENTIAL SERVICES, INC.

Doing business as

Cirsi

Practice address

1002 S 12TH Ave
Marshalltown, IA 50158-3607

Phone

(641) 752-5762

Fax

(641) 752-9514

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey L Vance

Title

Executive Director

Phone

(641) 752-5762

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CIRSI Doing business as

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073698346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S 12TH AVE",
            "address_2": "PO BOX 1356",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501583607",
            "telephone_number": "641-752-5762",
            "fax_number": "641-752-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S 12TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501583607",
            "telephone_number": "641-752-5762",
            "fax_number": "641-752-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "641-752-5762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108449",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIRSI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Iowa Healthcare (CIH - Dietary)
• Central Iowa Healthcare
• Central Iowa Healthcare (CIH - Emergency Physicians)
• Central Iowa Physio LLC
• Central Iowa Podiatry Inc (The Foot Doctor of Marshalltown)
• Vanessa Ceren
• Megan S Chesley, CRNA
• Kin-Kwan Tony Cheuk, M.D.
• China Connection Global Healthcare
• Erik Svend Christensen, D.D.S.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Iowa

• 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.