Healthcare Provider Details

I. General information

NPI: 1003276882
Provider Name (Legal Business Name): IOWA FAMILY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2016
Last Update Date: 03/04/2022
Certification Date: 03/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 WESTOWN PKWY STE 250
WEST DES MOINES IA
50266-6714
US

IV. Provider business mailing address

4401 WESTOWN PKWY STE 250
WEST DES MOINES IA
50266-6714
US

V. Phone/Fax

Practice location:
  • Phone: 515-270-0093
  • Fax: 515-270-4939
Mailing address:
  • Phone: 515-447-0650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIK CHRISTOPHER HAYWOOD
Title or Position: DIRECTOR
Credential:
Phone: 515-270-0093