CREST SERVICES
Adult Care Home
Des Moines, Iowa
Provider NPI: 1437147907
Organization Information:Organization Name: CREST SERVICES
Practice Location:
3015 MERLE HAY RD SUITE 6 DES MOINES, IA 50310 US
Tel: 515-331-1200 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3015 MERLE HAY RD SUITE 6 DES MOINES, IA 50310 US
Tel: 515-331-1200 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0172577 | IA | 05 | |
STATE SUPPLEMENTAL ASSIST | 0892455 | IA | 01 |
1121798 | IA | 05 | |
0096032 | IA | 05 | |
0121798 | IA | 05 | |
STATE SUPPLEMENTAL ASSIST | 0894915 | IA | 01 |
STATE SUPPLEMENTAL ASSIST | 0892240 | IA | 01 |
STATE SUPPLEMENTAL ASSIST | 0895946 | IA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin