Active NPI
Dac, Inc
Doing business as Andrew Jackson Care
- Mental Illness Community Based Residential Treatment Facility
- Bellevue, IA
National Provider Identifier
1174867782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 480114
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Dac Inc
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Maquoketa, IA
- NPI 1891841201
-
- Community/Behavioral Health Agency
- Maquoketa, IA
- NPI 1366598765
-
dba Andrew Jackson Care
- Mental Illness Community Based Residential Treatment Facility
- Bellevue, IA
- NPI 1043554629
-
- Mental Illness Community Based Residential Treatment Facility
- Maquoketa, IA
- NPI 1154496321
-
- Community/Behavioral Health Agency
- Maquoketa, IA
- NPI 1245305416
-
- Mental Illness Community Based Residential Treatment Facility
- Maquoketa, IA
- NPI 1336214501
-
- Mental Illness Community Based Residential Treatment Facility
- Maquoketa, IA
- NPI 1508930322
-
- Mental Illness Community Based Residential Treatment Facility
- Maquoketa, IA
- NPI 1588738306
-
- Community/Behavioral Health Agency
- Maquoketa, IA
- NPI 1689745838
-
- Community/Behavioral Health Agency
- Maquoketa, IA
- NPI 1780759951
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Maquoketa, IA
- NPI 1821163130
-
- In Home Supportive Care Agency
- Maquoketa, IA
- NPI 1831401900
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.