NPIMap

Organization Active NPI

The Arc of the Quad Cities Area

  • Developmentally Disabled Services Day Training Agency
  • Moline, IL
National Provider Identifier
1073867628
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
92C158 Issued in IL
Legal business name
THE ARC OF THE QUAD CITIES AREA
Practice address
5101 52ND Ave
Moline, IL 61265-7564
Phone
(309) 797-4677
Fax
(309) 736-5994
NPI assigned
Nov 5, 2012
Last updated
Nov 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle Rick
Title
Executive Director
Phone
(309) 786-6474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 92C158 IL Primary

Addresses

Primary practice location

5101 52ND Ave
Moline, IL 61265-7564

Mailing address

4016 9TH St
Rock Island, IL 61201-6722
Phone (309) 786-6474

Other names 1

  • Association for Retarded Citizends of Rock Island County Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Association for Retarded Citizens of Rock Island County8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5101 52nd Ave
Moline, IL 61265
Phone (309) 797-4677

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1073867628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 9TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612016722",
            "telephone_number": "309-786-6474",
            "fax_number": "309-786-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 52ND AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657564",
            "telephone_number": "309-797-4677",
            "fax_number": "309-736-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF THE QUAD CITIES AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "RICK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-786-6474"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "92C158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Association for Retarded Citizends of Rock Island County",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.