Organization Active NPI

Dac, Inc

Doing business as Andrew Jackson Care

  • Mental Illness Community Based Residential Treatment Facility
  • Bellevue, IA
National Provider Identifier
1174867782
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
480114 Issued in IA
Legal business name
DAC, INC
Doing business as
Andrew Jackson Care
Practice address
18720 250TH Ave
Bellevue, IA 52031-8202
Phone
(563) 672-3800
Fax
(563) 672-3802
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Todd Seifert
Title
Ceo
Phone
(563) 652-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 480114 IA Primary

Addresses

Primary practice location

18720 250TH Ave
Bellevue, IA 52031-8202

Mailing address

1710 E Maple St
Maquoketa, IA 52060-9214
Phone (563) 652-5252

Other names 1

  • Andrew Jackson Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dac Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1174867782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E MAPLE ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520609214",
            "telephone_number": "563-652-5252",
            "fax_number": "563-652-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18720 250TH AVE",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "520318202",
            "telephone_number": "563-672-3800",
            "fax_number": "563-672-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "SEIFERT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-652-5252"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IA",
            "license": "480114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew Jackson Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.