Healthcare Provider Details

I. General information

NPI: 1851415947
Provider Name (Legal Business Name): YOUTH HOMES OF MID-AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7225 NW 58TH ST
JOHNSTON IA
50131-1948
US

IV. Provider business mailing address

PO BOX 39
JOHNSTON IA
50131-0039
US

V. Phone/Fax

Practice location:
  • Phone: 515-276-3473
  • Fax: 515-278-4329
Mailing address:
  • Phone: 515-276-3473
  • Fax: 515-278-4329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateIA

VIII. Authorized Official

Name: MR. RONALD D. STEHL
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW
Phone: 515-276-3473