Ameriserve International II, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

AMERISERVE INTERNATIONAL II, INC.

Practice address

35 Main PL Ste 300
Council Bluffs, IA 51503-0702

Phone

(712) 322-0272

Fax

(712) 322-0272

NPI assigned

Aug 28, 2019

Organization subpart

Yes

Parent organization

AMERISERVE INTERNATIONAL, INCAs reported in NPPES

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

Authorized official

Name

Steven B Pearson, CPA

Title

Treasurer

Phone

(712) 322-0272

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Part of

Ameriserve International Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ameriserve International, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Council Bluffs, IA
  • NPI 1912555426
  NPPES parent name

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1992353411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MAIN PL STE 300",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030702",
            "telephone_number": "712-322-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MAIN PL STE 300",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030702",
            "telephone_number": "712-322-0272",
            "fax_number": "712-322-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERISERVE INTERNATIONAL II, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERISERVE INTERNATIONAL, INC",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "712-322-0272",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203641",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.ameriserveintl.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Company Website",
            "address_1": "35 Main Pl Ste 300",
            "city": "Council Bluffs",
            "state": "IA",
            "country_code": "US",
            "postal_code": "515030702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Andrea J Anderson

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.