Community Living Services

Key facts

NPI

1306115365

Entity type

Organization (NPI type 2)

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Legal business name

COMMUNITY LIVING SERVICES

Practice address

8517 Airline Ave
Urbandale, IA 50322-2317

Phone

(515) 650-3559

NPI assigned

Dec 21, 2011

Organization subpart

No

Authorized official

Name

Elly Anyiko

Title

Executive Director

Phone

(515) 650-3559

National Provider Directory

Specialties & licenses

Addresses

Other names

• Wenoj Services Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 21, 2011.

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1306115365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 AIRLINE AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222317",
            "telephone_number": "515-650-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 AIRLINE AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222317",
            "telephone_number": "515-650-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "ANYIKO",
        "authorized_official_first_name": "ELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-650-3559"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wenoj Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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