BROADLAWNS MEDICAL CENTER – NPI #1609951144
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.

BROADLAWNS MEDICAL CENTER is a community based residential treatment facility located in DES MOINES, IA. NPPES has assigned the NPI number 1609951144 to BROADLAWNS MEDICAL CENTER on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BROADLAWNS MEDICAL CENTER is also known by the name BROADLAWNS MEDICAL CENTER RESIDENTIAL FACILITIES. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROADLAWNS MEDICAL CENTER below.

NPI Profile for
BROADLAWNS MEDICAL CENTER

NPI Number
1609951144
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROADLAWNS MEDICAL CENTER
Other Name: BROADLAWNS MEDICAL CENTER RESIDENTIAL FACILITIES
Primary location
1812 OAKLAND AVE
DES MOINES, IA 50314-3329
Phone: (515) 244-8381 Fax: (515) 244-1201
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JANETTE BORMANN
ACCOUNTANT
Phone: (515) 282-6904
Updated
Identifiers

Identifiers for BROADLAWNS MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA0236489
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.