Organization Active NPI

Focus-Family Options & Community Supports, Inc

  • Developmentally Disabled Services Day Training Agency
  • Council Bluffs, IA
National Provider Identifier
1124199872
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FOCUS-FAMILY OPTIONS & COMMUNITY SUPPORTS, INC
Practice address
501 S Main St
Ste 2B
Council Bluffs, IA 51503-6522
Phone
(712) 323-4024
Fax
(712) 323-0032
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Mr. Derek Laney
Title
Ceo-President
Phone
(712) 323-4024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IA Primary

Addresses

Primary practice location

501 S Main St
Ste 2B
Council Bluffs, IA 51503-6522

Mailing address

501 S Main St
Ste 2B
Council Bluffs, IA 51503-6522
Phone (712) 323-4024

Other identifiers 5

IdentifierTypeStateIssuer
0266064MedicaidIA
0765669MedicaidIA
0280511MedicaidIA
1280511MedicaidIA
200326900AMedicaidKS

National Provider Directory

National Provider Directory

Locations

501 S Main St
Ste 2B
Council Bluffs, IA 51503
Phone (712) 323-4024

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1124199872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S MAIN ST",
            "address_2": "STE 2B",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515036522",
            "telephone_number": "712-323-4024",
            "fax_number": "712-323-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MAIN ST",
            "address_2": "STE 2B",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515036522",
            "telephone_number": "712-323-4024",
            "fax_number": "712-323-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS-FAMILY OPTIONS & COMMUNITY SUPPORTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "LANEY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "712-323-4024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266064",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0765669",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280511",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1280511",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326900A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.