CHRISTIAN HOME ASSOCIATION-CHILDREN'S SQUARE U.S.A (NPI# 1306992805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306992805 |
| 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 |
705 Douglas St Suite 652 Sioux City IA 51101-1048 |
| Mailing Address |
Po Box 8c Council Bluffs IA 51502-3008 |
| Practice Telephone | 7122559061 |
| Practice Fax Number | 7122553729 |
| Mailing Telephone | 7123223700 |
| Mailing Fax Number | 7123236968 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK J DUMAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7123223700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1104026 | 05 |
| Other Name | Type Code |
|---|---|
| CHILDREN'S SQUARE U.S.A. | Doing Business As Name - Organization |
| 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 |
| Street Address |
705 DOUGLAS ST SUITE 652 |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51101-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891863668 | Vivian Lea Miller | Counselor | 705 Douglas St, Suite 350, Sioux City, IA 51101 | 2006-12-01 |
| 1912368317 | Linda Wieseler | Counselor | 705 Douglas St, Suite 350, Sioux City, IA 51101-1048 | 2016-03-11 |
| 1336409259 | Amy Lynn Koerselman | Counselor | 705 Douglas St, Suite 525, Sioux City, IA 51101-1048 | 2012-05-24 |
| 1629359872 | The Lodge Counseling & Consuliting | Social Worker | 705 Douglas St, Suite # 208, Sioux City, IA 51101-1048 | 2011-09-01 |
| 1417246570 | Ship-administrative Services | Social Worker | 705 Douglas St, Suite 522, Sioux City, IA 51101-1048 | 2011-03-29 |
| 1801199641 | Counseling and Support Services 1 Inc | Social Worker | 705 Douglas St, 524, Sioux City, IA 51101-1048 | 2010-12-17 |
| 1902108285 | Counseling and Support Services Inc | Social Worker | 705 Douglas St, 524, Sioux City, IA 51101-1048 | 2010-11-19 |
| 1013065861 | Pamela A Kumpf | Counselor | 705 Douglas St, Suite 350, Sioux City, IA 51101-1048 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434691 | Dorcas Wambui Kamau | Nurse Practitioner | Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 | 2018-04-11 |
| 1346763554 | Mercy Health Services - Iowa Corp | Skilled Nursing Facility | 801 5th St Fl 7, Sioux City, IA 51101 | 2017-07-19 |
| 1821427287 | Jason Leigh Wagner | Counselor | 505 5th St., Suite 520, Sioux City, IA 51101 | 2013-11-06 |
| 1124354352 | Carol Madsen Watchorn | Social Worker | Nseling Practice, 915 Pierce St, Sioux City, IA 51101 | 2009-10-22 |
| 1710024542 | Woodbury County, Iowa | Case Management | 620 Douglas, Rm B5, Sioux City, IA 51101 | 2007-01-31 |
| 1043265176 | Sharon K Fey | Internal Medicine | 700 4th Street, Ste 410, Sioux City, IA 51101 | 2006-05-24 |
| 1861965089 | Alexis Mae Semmler | Nurse Practitioner | 801 5th St, Sioux City, IA 51101 | 2019-01-10 |
| 1326524844 | Michaela Kristine Anderson | Nurse Practitioner | 801 5th St, Sioux City, IA 51101 | 2018-07-17 |
| 1073009486 | Carly Alyssa Turner | Social Worker | 625 Court St, Sioux City, IA 51101 | 2018-07-09 |
| 1114419009 | Ryan Rudloff | Optometrist | 431 Pierce St, Sioux City, IA 51101 | 2018-06-05 |
| Find all providers in zip 51101 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396015509 | Siouxland Treatment Center | Community/Behavioral Health | 2520 Glenn Ave, Sioux City, IA 51106-2768 | 2012-01-04 |
| 1356546675 | Meagan Bertness LLC | Community/Behavioral Health | 3126 Summit St, Sioux City, IA 51104-3946 | 2007-06-18 |
| 1912058967 | Center for Human Development, Inc | Community/Behavioral Health | 1504 Hiawatha Trl, Sioux City, IA 51104-4325 | 2007-01-16 |
| 1508914730 | Answers, LLC | Community/Behavioral Health | 507 7th St Ste 215, Sioux City, IA 51101-1125 | 2007-01-05 |
| 1174061881 | Building Bridges Counseling & Associates Inc | Community/Behavioral Health | 505 5th St Ste 520, Sioux City, IA 51101-1506 | 2017-02-02 |
| 1619410735 | Siouxland Counseling Services, Pllc | Community/Behavioral Health | 409 11th St, Sioux City, IA 51105-1332 | 2016-11-21 |
| 1427504216 | Transitional Services of Iowa | Community/Behavioral Health | 1221 Pierce St, Sioux City, IA 51105-1418 | 2016-08-31 |
| 1518337054 | Family Wellness Associates, Inc. | Community/Behavioral Health | 1115 5th St, Sioux City, IA 51101-1905 | 2015-09-27 |
| 1659759124 | Choices Counseling & Consulting, Inc | Community/Behavioral Health | 520 Nebraska St, Ste #408, Sioux City, IA 51101-1307 | 2015-05-15 |
| 1922491638 | Simple Life, Inc. | Community/Behavioral Health | 1551 Indian Hills Dr, Suite 4, Sioux City, IA 51104-1859 | 2015-03-05 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51101 |
Please comment or provide details below to improve the information on CHRISTIAN HOME ASSOCIATION-CHILDREN'S SQUARE U.S.A.
| 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.