MEDICARE: DES MOINES WELLNESS CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1811837032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DES MOINES WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	621 NW 53RD ST STE 370
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-8241
Country	:	US
Telephone Number	:	631-672-7441
Fax Number	:	323-529-8134

Provider Business Practice Location Address
First Line	:	5820 WINWOOD DR
Second Line	:
City	:	JOHNSTON
State	:	IA
Zip	:	50131-1821
Country	:	US
Telephone Number	:	631-672-7441
Fax Number	:	323-529-8134

Authorized Official
Title or Position	:	CRO
Name	:	MR. COLIN MCBRIDE
Credential	:
Telephone Number	:	631-672-7441

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	06/24/2026

Similar Medicare Providers

1922511492 — SARA L OWEN ARNP
Practice Location Address:

5820 WINWOOD DR
JOHNSTON, IA
50131-1821

Practice Phone: 515-643-6150
Practice Fax: 515-643-6149

1841153608 — DES MOINES WELLNESS CENTER
Practice Location Address:

5820 WINWOOD DR
JOHNSTON, IA
50131-1821

Practice Phone: 978-440-3200
Practice Fax: 323-529-8134

1740008663 — LASHANYA I PATTERSON
Practice Location Address:

121 S JOHNSTON AVE
TRENTON, NJ
08609-1821

Practice Phone: 609-551-6881
Practice Fax:

1497682421 — JACKSON NEWCOMER
Practice Location Address:

128 JOHNSTON BLVD
ASHEVILLE, NC
28806-1821

Practice Phone: 518-369-9946
Practice Fax:

1649132937 — MS. AMBER LAUREN JOLLY MSN, APRN, WHNP-BC
Practice Location Address:

6701 CORPORATE DR # 4183
JOHNSTON, IA
50131-1659

Practice Phone: 515-954-6463
Practice Fax:

1912832619 — WE CARE IOWA LLC
Practice Location Address:

6701 CORPORATE DR STE R
JOHNSTON, IA
50131-1659

Practice Phone: 478-294-0229
Practice Fax:

Directions to “DES MOINES WELLNESS CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.