House of Mercy

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HOUSE OF MERCY

Doing business as

Substance Use Rehabilitation

Practice address

1409 Clark St
Des Moines, IA 50314-1964

Phone

(515) 643-6525

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd BeveridgeNPI 1598187619

Title

Director

Phone

(515) 247-3265

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Substance Use Rehabilitation Doing business as

Tax ID family

House of Mercy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

• House of Mercy

  dba Substance Abuse Rehab Residential

  • Substance Abuse Rehabilitation Facility
  • Des Moines, IA
  • NPI 1346362977
  NPD tax ID
• House of Mercy

  dba Adolescent and Children Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • Des Moines, IA
  • NPI 1649392325
  NPD tax ID
• House of Mercy

  dba Adult Residential Treatment Sub Abuse

  • Substance Abuse Rehabilitation Facility
  • Des Moines, IA
  • NPI 1669695201
  NPD tax ID
• House of Mercy

  dba Adult Mental Health

  • Adult Mental Health Clinic/Center
  • Des Moines, IA
  • NPI 1770706319
  NPD tax ID
• House of Mercy

  • Substance Abuse Rehabilitation Facility
  • Des Moines, IA
  • NPI 1821155284
  NPD tax ID
• House of Mercy

  dba Adolescent ResidentialTreatment for Community

  • Mental Illness Community Based Residential Treatment Facility
  • Des Moines, IA
  • NPI 1861615403
  NPD tax ID
• House of Mercy

  dba Adolescent Rehabilitation Substance Use Disorder

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Des Moines, IA
  • NPI 1932221611
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd Beveridge, L.I.S.W.

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1598187619
  Authorized official Same address or phone

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689897225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 CLARK ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141964",
            "telephone_number": "515-643-6525"
        },
        {
            "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": "515-643-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF MERCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEVERIDGE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "515-247-3265"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "1607560",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Substance Use Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Hotek, LMSW
• House of Mercy (Substance Abuse Rehab Residential)
• House of Mercy
• House of Mercy (Adolescent and Children Mental Health)
• House of Mercy (Adult Residential Treatment Sub Abuse)
• House of Mercy (Adult Mental Health)
• House of Mercy
• House of Mercy (Adolescent ResidentialTreatment for Community)
• House of Mercy (Adolescent Rehabilitation Substance Use Disorder)
• Ar'N House, R.N

• Substance Use Disorder Rehabilitation Clinic/Center in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.