NPIMap

Organization Active NPI

Mainstream Living, Inc.

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1104177559
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MAINSTREAM LIVING, INC.
Practice address
40 E McKinley Ave
Des Moines, IA 50315-4131
Phone
(515) 243-8115
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Jon Zellweger
Title
V.P. of Operations
Phone
(515) 232-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

40 E McKinley Ave
Des Moines, IA 50315-4131

Mailing address

2012 E 13TH St
Ames, IA 50010-5601
Phone (515) 232-8405

National Provider Directory

National Provider Directory
Tax ID family
Mainstream Living Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2012 E 13th St
Ames, IA 50010
Phone (515) 232-8405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1104177559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 E 13TH ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105601",
            "telephone_number": "515-232-8405",
            "fax_number": "515-232-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MCKINLEY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503154131",
            "telephone_number": "515-243-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "ZELLWEGER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "515-232-8405"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2012; 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.