NPIMap

Organization Active NPI

Iowa Jewish Senior Life Center

  • Durable Medical Equipment & Medical Supplies
  • Des Moines, IA
National Provider Identifier
1124188974
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
IOWA JEWISH SENIOR LIFE CENTER
Practice address
900 Polk Blvd
Des Moines, IA 50312-2225
Phone
(515) 255-5433
Fax
(515) 277-8898
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Mrs. Marlene E Wiese
Title
Accounting Manager
Phone
(515) 255-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IA Primary

Addresses

Primary practice location

900 Polk Blvd
Des Moines, IA 50312-2225

Mailing address

900 Polk Blvd
Des Moines, IA 50312-2225
Phone (515) 255-5433

National Provider Directory

National Provider Directory
Tax ID family
Iowa Jewish Senior Life Center4 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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1124188974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 POLK BLVD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122225",
            "telephone_number": "515-255-5433",
            "fax_number": "515-277-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 POLK BLVD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122225",
            "telephone_number": "515-255-5433",
            "fax_number": "515-277-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA JEWISH SENIOR LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "515-255-5433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "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 Oct 15, 2007; 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.