BROADLAWNS MEDICAL CENTER (NPI# 1336224872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336224872 |
Entity Type | Organization |
Organization Name | BROADLAWNS MEDICAL CENTER |
Other Organization Name | ARLINGTON GROUP HOME |
Practice Address |
1730 Arlington Ave Des Moines IA 50314-3311 |
Mailing Address |
1812 Oakland Ave Des Moines IA 50314-3329 |
Practice Telephone | 5152443944 |
Mailing Telephone | 5152448381 |
Mailing Fax Number | 5152441201 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. JANETTE BORMANN (ACCOUNTANT) |
Authorized Official Telephone | 5152826904 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0890038 | 05 |
Other Name | Type Code |
---|---|
Arlington Group Home | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609951144 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1812 Oakland Ave, Des Moines, IA 50314-3329 | 2006-10-25 |
1578002382 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-02-14 |
1467850727 | Broadlawns Medical Center | Clinic/Center | 507 14th St, Dallas Center, IA 50063-7738 | 2014-12-18 |
1235541434 | Broadlawns Medical Center | Eyewear Supplier (Equipment, not the service) | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2014-05-22 |
1063795672 | Broadlawns Medical Center | Psychiatric Hospital | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2011-09-21 |
1669784104 | Broadlawns Medical Center | Community/Behavioral Health | 1801 Hickman Rd, Des Moines, IA 50314 | 2010-07-13 |
1265683718 | Broadlawns Medical Center | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-10-02 |
1962662379 | Broadlawns Medical Center | Psychologist | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-06-10 |
1013197060 | Broadlawns Medical Center | Pharmacy | 1801 Hickman Road, Des Moines, IA 50314 | 2007-11-07 |
1619184686 | Broadlawns Medical Center | Community/Behavioral Health | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2007-05-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | BROADLAWNS MEDICAL CENTER FOUNDATION | Broadlawns Medical Center, 1801 Hickman Road, Des Moines, IA 50314 |
Iowa Business Entities | BROADLAWNS MEDICAL CENTER GUILD | 1801 Hickman Road, Des Moines, IA 50314 |
Street Address |
1730 ARLINGTON AVE |
City | DES MOINES |
State | IA |
Zip Code | 50314-3311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255876603 | Laura Courtney-brubaker | Social Worker | 1730 Arlington Ave, Des Moines, IA 50314-3311 | 2016-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
Find all providers in zip 50314 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184745424 | Urban Dreams | Community Based Residential Treatment Facility, Mental Illness | 1410 6th Ave, Des Moines, IA 50314-2801 | 2007-04-03 |
1609951144 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1812 Oakland Ave, Des Moines, IA 50314-3329 | 2006-10-25 |
1437542180 | Latoya Ware | Community Based Residential Treatment Facility, Mental Illness | 1725 6th Ave, Des Moines, IA 50314-3304 | 2015-03-05 |
1861615403 | House of Mercy | Community Based Residential Treatment Facility, Mental Illness | 1409 Clark St, Des Moines, IA 50314-1964 | 2007-04-11 |
1427133966 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1812 Oakland Ave, Des Moines, IA 50314-3329 | 2006-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174976757 | North Iowa Juvenile Detention Services | Community Based Residential Treatment Facility, Mental Illness | 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2016-07-19 |
1982096608 | Resources for Human Development,inc. | Community Based Residential Treatment Facility, Mental Illness | 1146 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1274 | 2015-03-04 |
1447658984 | Judy Alexander | Community Based Residential Treatment Facility, Mental Illness | 2219 W Hills Dr, Fairfield, IA 52556-4739 | 2014-12-16 |
1861824617 | Kingston Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 12th St Nw, Cedar Rapids, IA 52405-3913 | 2013-08-04 |
1043554629 | Dac, Inc | Community Based Residential Treatment Facility, Mental Illness | 18720 250th Ave, Bellevue, IA 52031-8202 | 2012-11-20 |
1093937260 | Scenic Acres | Community Based Residential Treatment Facility, Mental Illness | 23105 Granite Avenue, Saint Olaf, IA 52074-8049 | 2007-05-03 |
1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
1104951193 | Partnership for Progress | Community Based Residential Treatment Facility, Mental Illness | 60191 Willow St, Atlantic, IA 50022-8172 | 2007-02-22 |
1134264807 | Exceptional Persons, Inc | Community Based Residential Treatment Facility, Mental Illness | 1210 Idaho St, Waterloo, IA 50703-4328 | 2007-02-21 |
1558402271 | Mosaic | Community Based Residential Treatment Facility, Mental Illness | 600 9th Avenue, Council Bluffs, IA 51501-0000 | 2007-02-08 |
Find all providers with the same taxonomy |
City | DES MOINES |
Zip Code | 50314 |
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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.