Active NPI
Exist
- Community/Behavioral Health Agency
- Clive, IA
National Provider Identifier
1497284194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EXIST
- Practice address
- 2175 NW 86TH St Ste 10
Clive, IA 50325-5557 - Phone
- (515) 333-2352
- NPI assigned
- Jun 6, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gideon Kirwa Cheboss
- Title
- Ceo
- Phone
- (515) 333-2352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
2175 NW 86TH St Ste 10
Clive, IA 50325-5557
Mailing address
2175 NW 86TH St Ste 10
Clive, IA 50325-5557
Phone (515) 333-2352
National Provider Directory
National Provider DirectoryLocations
2175 NW 86th St
Ste 10
Clive, IA 50325
Phone (515) 333-2352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1497284194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 NW 86TH ST STE 10",
"city": "CLIVE",
"state": "IA",
"postal_code": "503255557",
"telephone_number": "515-333-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 NW 86TH ST STE 10",
"city": "CLIVE",
"state": "IA",
"postal_code": "503255557",
"telephone_number": "515-333-2352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXIST",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CHEBOSS",
"authorized_official_first_name": "GIDEON",
"authorized_official_middle_name": "KIRWA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "515-333-2352"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.