Childserve Medical Equipment & Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHILDSERVE MEDICAL EQUIPMENT & SUPPLY INC.

Doing business as

ChildServe Medical Equipment & Supply Inc. Waiver

Practice address

5406 Merle Hay Rd
Johnston, IA 50131-1209

Phone

(515) 727-8750

Fax

(515) 727-8757

NPI assigned

Feb 9, 2007

Last updated

Apr 18, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

CHILDSERVE INC.As reported in NPPES

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

Authorized official

Name

Rodney Wildrick

Title

Director of Accounting

Phone

(515) 727-1468

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• ChildServe Medical Equipment & Supply Inc. Waiver Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Tax ID family

Childserve2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Childserve Medical Equipment & Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Johnston, IA
  • NPI 1043351844
  NPD tax ID

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1356482509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501310707",
            "telephone_number": "515-727-8750",
            "fax_number": "515-727-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 MERLE HAY RD",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311209",
            "telephone_number": "515-727-8750",
            "fax_number": "515-727-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDSERVE MEDICAL EQUIPMENT & SUPPLY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDSERVE INC.",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "WILDRICK",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "515-727-1468"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND'S CHOICE DEFINITY",
            "identifier": "F240616",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF IOWA",
            "identifier": "23422",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234229",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChildServe Medical Equipment & Supply Inc. Waiver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ChildServe Medical Equipment & Supply Inc. Waiver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Childserve Homes Inc. (ChildServe Homes SCL Waiver)
• Childserve Homes Inc. (ChildServe Stonecrest Home)
• Childserve Homes Inc. (ChildServe Morningside Home)
• Childserve Homes Inc. (ChildServe Johnston Home)
• Childserve Medical Equipment & Supply Inc.
• Childserve Specialty Hospital, Inc.
• Childserve Specialty Hospital, Inc.
• Childserve Therapy Inc. (ChildServe Therapy DME)
• Childserve Therapy Inc. (ChildServe Audiology)
• Childserve Therapy, Inc.

• Durable Medical Equipment & Medical Supplies in Johnston, IA
• Providers in Johnston, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.