CHRISTIAN HOME ASSOCIATION-CHILDREN'S SQUARE U.S.A.


Address: North 6th & Ave E, Council Bluffs, IA 51502-3008
Phone: 7123223700

CHRISTIAN HOME ASSOCIATION-CHILDREN'S SQUARE U.S.A. (NPI# 1134265291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134265291
Entity Type Organization
Organization Name CHRISTIAN HOME ASSOCIATION-CHILDREN'S SQUARE U.S.A.
Other Organization Name CHILDREN'S SQUARE U.S.A.
Practice Address North 6th & Ave E
Council Bluffs
IA 51502-3008
Mailing Address Po Box 8c
Council Bluffs
IA 51502-3008
Practice Telephone 7123223700
Practice Fax Number 7123236968
Mailing Telephone 7123223700
Mailing Fax Number 7123236968
Enumeration Date 2007-01-29
Last Update Date 2020-08-22
Authorized Official Name MR. MARK J DUMAN (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 7123223700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0071605 05

Other Provider/Organization Names

Other Name Type Code
CHILDREN'S SQUARE U.S.A. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215067848 Christian Home Association-children's Square U.S.A. Community/Behavioral Health North 6th & Ave E, Council Bluffs, IA 51502-3008 2007-03-06
1255477675 Christian Home Association-children's Square U.S.A. Community/Behavioral Health North 6th & Ave E, Council Bluffs, IA 51502-3008 2007-01-30

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities CHRISTIAN HOME ASSOCIATION-CHILDREN'S SQUARE U.S.A. North 6th Street Avenue E, P.o. Box 8 C, Council Bluffs, IA 51502

Office Location

Street Address NORTH 6TH & AVE E
City COUNCIL BLUFFS
State IA
Zip Code 51502-3008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215067848 Christian Home Association-children's Square U.S.A. Community/Behavioral Health North 6th & Ave E, Council Bluffs, IA 51502-3008 2007-03-06
1255477675 Christian Home Association-children's Square U.S.A. Community/Behavioral Health North 6th & Ave E, Council Bluffs, IA 51502-3008 2007-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982769584 Area Education Agency No #13 Local Education Agency (LEA) Highway 92 East, Council Bluffs, IA 51502-1109 2006-12-26
1518283050 Flex Physical Therapy LLC Specialist Flex Physical Therapy LLC, 928 Valley View Drive, Suite 7, Council Bluffs, IA 51502-1541 2010-04-08
1336645449 Rachel Newman Counselor 6th St and Ave E, Council Bluffs, IA 51502-2943 2018-04-05
1730599341 Windy J Disalvo Counselor 719 Mill St., Council Bluffs, IA 51502-3008 2014-05-05
1669464897 Carol Ann Logan-brummer Counselor 719 Mill Street, Council Bluffs, IA 51502-3008 2005-08-15

Providers in the same city

NPI Name Taxonomy Address Enumeration
1326647165 Ema Rehabilitation, LLC Skilled Nursing Facility 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 2020-10-22
1427665603 Hillcrest Hospice LLC Hospice Care, Community Based 1702 W Broadway Ste 7, Council Bluffs, IA 51501-3867 2020-09-30
1326654377 Michael Menendez Counselor N 6th Street and Ave E, Council Bluffs, IA 51503 2020-09-16
1073123527 Aligned Chiropractic Pllc Chiropractor 928 Valley View Dr Ste 14, Council Bluffs, IA 51503-5288 2020-08-08
1881204691 Melissa Sue Sperry Counselor Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 2020-08-06
1164049490 Md West One, PC Neurological Surgery 808 E Pierce St, Council Bluffs, IA 51503-4600 2020-07-02
1487271854 Jill Lynn Hunt Nurse Practitioner 200 Tower Ridge Ct, Council Bluffs, IA 51503-0337 2020-07-01
1114548757 My Nurse Healthcare, LLC In Home Supportive Care 124 Huron Cir, Council Bluffs, IA 51501-8327 2020-05-06
1972124956 Michaela J Maliszewski Physician Assistant 201 Ridge St Ste 302, Council Bluffs, IA 51503-4643 2020-05-01
1851910681 Daniel Teague Pharmacy 304 E Ferndale Dr, Council Bluffs, IA 51503-4880 2020-04-12
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568929339 Four Oaks Family and Children's Services Psychiatric Residential Treatment Facility 930 South Iowa Ave, Mason City, IA 50402 2019-02-27
1851858617 Four Oaks Family and Children's Services Psychiatric Residential Treatment Facility 80 North Eisenhower Ave, Mason City, IA 50401 2019-02-27
1780880310 Hillcrest Family Services Psychiatric Residential Treatment Facility 2445 Hillcrest Rd, Dubuque, IA 52001 2007-06-21
1871665372 Alegent Health Bergan Mercy Health System Psychiatric Residential Treatment Facility 359 Indian Hills Dr, Glenwood, IA 51534-1953 2006-11-14
1245309749 Vera French Sheridan Springs Psychiatric Residential Treatment Facility 5006 Sheridan St., Davenport, IA 52806-4167 2006-11-07
1245220938 Orchard Place Psychiatric Residential Treatment Facility 925 Sw Porter Ave, Des Moines, IA 50315-7235 2005-10-25
1205393071 Four Oaks Family and Children's Services Psychiatric Residential Treatment Facility 5400 Kirkwood Blvd Sw, North Oaks Program, Cedar Rapids, IA 52404-5298 2019-02-27
1194282962 Four Oaks Family and Children's Services Psychiatric Residential Treatment Facility 5400 Kirkwood Blvd Sw, Mcintyre Program, Cedar Rapids, IA 52404-5298 2019-02-27
1992262760 Four Oaks Family and Children's Services Psychiatric Residential Treatment Facility 80 North Eisenhower Ave, Mason City, IA 50401 2019-02-27
1902119118 Orchard Place Psychiatric Residential Treatment Facility 808 5th Ave, Des Moines, IA 50309-1307 2010-07-16
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Competitor

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City COUNCIL BLUFFS
Zip Code 51502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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