Organization Active NPI

House of Mercy

  • Substance Abuse Rehabilitation Facility
  • Des Moines, IA
National Provider Identifier
1417200155
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOUSE OF MERCY
Practice address
1409 Clark St
Des Moines, IA 50314-1964
Phone
(515) 643-6500
Fax
(505) 643-6532
NPI assigned
Oct 18, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Mrs. Almedina Islamovic, B.A
Title
Resident Counselor
Phone
(515) 643-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

1409 Clark St
Des Moines, IA 50314-1964

Mailing address

2009 NW Ashland Pkwy
Ankeny, IA 50023-8754

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1417200155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 NW ASHLAND PKWY",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CLARK ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141964",
            "telephone_number": "515-643-6500",
            "fax_number": "505-643-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF MERCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "ISLAMOVIC",
        "authorized_official_first_name": "ALMEDINA",
        "authorized_official_title_or_position": "RESIDENT COUNSELOR",
        "authorized_official_telephone_number": "515-643-6500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "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 18, 2012; 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.