NPIMap

Organization Active NPI

American Baptist Homes of the Midwest

Doing business as Cedar Rapids Crest Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cedar Rapids, IA
National Provider Identifier
1942350798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
AMERICAN BAPTIST HOMES OF THE MIDWEST
Doing business as
Cedar Rapids Crest Services
Practice address
120 3Rd Ave SW
Suite B
Cedar Rapids, IA 52404-5733
Phone
(319) 364-6774
Fax
(319) 364-3925
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert L Swigert
Title
Budget & Finance Coordinator
Phone
(515) 331-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

120 3Rd Ave SW
Suite B
Cedar Rapids, IA 52404-5733

Mailing address

120 3Rd Ave SW
Suite B
Cedar Rapids, IA 52404-5733
Phone (319) 364-6774

Other identifiers 2

IdentifierTypeStateIssuer
0121798MedicaidIA
0892240OtherIASSA VENDOR #

Other names 1

  • Cedar Rapids Crest Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tudor Oaks Health Cente14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942350798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 3RD AVE SW",
            "address_2": "SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045733",
            "telephone_number": "319-364-6774",
            "fax_number": "319-364-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 3RD AVE SW",
            "address_2": "SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045733",
            "telephone_number": "319-364-6774",
            "fax_number": "319-364-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN BAPTIST HOMES OF THE MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWIGERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUDGET & FINANCE COORDINATOR",
        "authorized_official_telephone_number": "515-331-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121798",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSA VENDOR #",
            "identifier": "0892240",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Rapids Crest Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • 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.