NPIMap

Organization Active NPI

Christian Home Association-Children's Square U.S.a.

Doing business as Children's Square U.S.a.

  • Community/Behavioral Health Agency
  • Council Bluffs, IA
National Provider Identifier
1255477675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRISTIAN HOME ASSOCIATION-CHILDREN'S SQUARE U.S.A.
Doing business as
Children's Square U.S.a.
Practice address
North 6TH & Ave E
Council Bluffs, IA 51502-3008
Phone
(712) 322-3700
Fax
(712) 323-6968
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Mark J Duman
Title
Chief Financial Officer
Phone
(712) 322-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

North 6TH & Ave E
Council Bluffs, IA 51502-3008

Mailing address

PO Box 8C
Council Bluffs, IA 51502-3008
Phone (712) 322-3700

Other identifiers 1

IdentifierTypeStateIssuer
2104026MedicaidIA

Other names 1

  • CHILDREN'S SQUARE U.S.A. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Square USA4 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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255477675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8C",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515023008",
            "telephone_number": "712-322-3700",
            "fax_number": "712-323-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH 6TH & AVE E",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515023008",
            "telephone_number": "712-322-3700",
            "fax_number": "712-323-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HOME ASSOCIATION-CHILDREN'S SQUARE U.S.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "712-322-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104026",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN'S SQUARE U.S.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, 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.