Provider Demographics
NPI:1760296933
Name:CHRISTIAN CHURCH HOMES OF IOWA, INC.
Entity type:Organization
Organization Name:CHRISTIAN CHURCH HOMES OF IOWA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:MADDISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-265-2172
Mailing Address - Street 1:3330 E. 25TH ST.
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-3665
Mailing Address - Country:US
Mailing Address - Phone:515-265-2172
Mailing Address - Fax:515-265-1078
Practice Address - Street 1:3330 E. 25TH ST.
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-3665
Practice Address - Country:US
Practice Address - Phone:515-265-2172
Practice Address - Fax:515-265-1078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty