NPIMap

Organization Active NPI

On With Life, Inc

  • Community/Behavioral Health Agency
  • Des Moines, IA
National Provider Identifier
1255868360
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ON WITH LIFE, INC
Practice address
692 NW 43Rd Ave
Des Moines, IA 50313
Phone
(515) 965-6860
Fax
(515) 289-1492
NPI assigned
May 19, 2017
Organization subpart
Yes
Parent organization
ON WITH LIFE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Cynthia Ewald
Title
Office Manager
Phone
(515) 289-9658

Specialties & licenses 1

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

Addresses

Primary practice location

692 NW 43Rd Ave
Des Moines, IA 50313

Mailing address

715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone (515) 289-9658

Other identifiers 1

IdentifierTypeStateIssuer
0651638MedicaidIA

Other names 1

  • On With Life Residential Neuro Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
On With Life Inc8 organizations share this tax ID, including this one
Part of
On With Life Inc

Other organizations with this tax ID 7

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": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1255868360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239798",
            "telephone_number": "515-289-9658",
            "fax_number": "515-965-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 NW 43RD AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50313",
            "telephone_number": "515-965-6860",
            "fax_number": "515-289-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON WITH LIFE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ON WITH LIFE, INC",
        "enumeration_date": "2017-05-19",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "EWALD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-289-9658"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0651638",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On With Life Residential Neuro Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "On With Life Residential Neuro Rehab",
            "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 Jun 21, 2018; 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.