Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

St. Jude Retreat House, LLC

Substance Abuse Rehabilitation Facility in Des Moines, IA · enumerated 2010 · authorized official Mike Vasquez, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184943797

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Registry record

Entity type Organization (Type 2)

Legal business name St. Jude Retreat House, LLC

Other name <Unavail>

Practice address 5875 Fleur Dr, Des Moines, IA, 50321

Phone (800) 990-0340

Fax (954) 208-5770

Enumeration date May 21, 2010

Last updated in NPPES Dec 16, 2016

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 01930 (IA) Secondary

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License 1340 (IA) Primary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License A054289 (IA) Secondary

Authorized official

Name Mike Vasquez

Title Ceo

Phone (800) 990-0340

Other identifiers

Identifier	Type	State	Issuer
0112726	Medicaid	IA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-12-16. Verify at npiregistry.cms.hhs.gov.

Where is St. Jude Retreat House, LLC located?

The practice location on file with NPPES is in Des Moines, IA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-16.