Healthcare Provider Details

I. General information

NPI: 1487518858
Provider Name (Legal Business Name): FAMILY ENVISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4423 LOWER BEAVER RD
DES MOINES IA
50310-4916
US

IV. Provider business mailing address

4423 LOWER BEAVER RD
DES MOINES IA
50310-4916
US

V. Phone/Fax

Practice location:
  • Phone: 515-867-0581
  • Fax:
Mailing address:
  • Phone: 515-867-0581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MALOVE CHAYEE
Title or Position: FINDER
Credential: BSC, MBA
Phone: 515-867-0581