Active NPI
Leaders of Tomorrow, LLC
- Community/Behavioral Health Agency
- Davenport, IA
National Provider Identifier
1184903247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- X000402601
- Legal business name
- LEADERS OF TOMORROW, LLC
- Practice address
- 1720 N Harrison St
Davenport, IA 52803-4812 - Phone
- (563) 323-0478
- Fax
- (563) 324-0308
- NPI assigned
- Aug 8, 2011
- 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
- Mr. James Howard Crawford Jr.
- Title
- Ceo/Director
- Phone
- (563) 323-0478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | X000402601 | IA | Primary |
Addresses
Primary practice location
1720 N Harrison St
Davenport, IA 52803-4812
Mailing address
1720 N Harrison St
Davenport, IA 52803-4812
Phone (563) 323-0478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X000402601 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312761600000",
"number": "1184903247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 N HARRISON ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528034812",
"telephone_number": "563-323-0478",
"fax_number": "563-324-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 N HARRISON ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528034812",
"telephone_number": "563-323-0478",
"fax_number": "563-324-0308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEADERS OF TOMORROW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "563-323-0478",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IA",
"license": "X000402601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "X000402601",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.