NPIMap

Organization Active NPI

Rcap Enterprise, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edelstein, IL
National Provider Identifier
1174974497
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
199700011S Issued in IL
Legal business name
RCAP ENTERPRISE, INC.
Practice address
1101 W Hallock Hollow Rd
Edelstein, IL 61526-9789
Phone
(309) 249-3829
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Mr. Austin Carter-Potter
Title
Coo
Phone
(309) 369-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 199700011S IL Primary

Addresses

Primary practice location

1101 W Hallock Hollow Rd
Edelstein, IL 61526-9789

Mailing address

1101 W Hallock Hollow Rd
Edelstein, IL 61526-9789
Phone (309) 249-3829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1174974497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W HALLOCK HOLLOW RD",
            "city": "EDELSTEIN",
            "state": "IL",
            "postal_code": "615269789",
            "telephone_number": "309-249-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W HALLOCK HOLLOW RD",
            "city": "EDELSTEIN",
            "state": "IL",
            "postal_code": "615269789",
            "telephone_number": "309-249-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCAP ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "CARTER-POTTER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "13093694277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "199700011S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edelstein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.