Organization Active NPI

Handicapped Development Center

  • Developmentally Disabled Services Day Training Agency
  • Davenport, IA
National Provider Identifier
1215089065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HANDICAPPED DEVELOPMENT CENTER
Practice address
3402 Hickory Grove Rd
Davenport, IA 52806-3305
Phone
(563) 391-4834
Fax
(563) 391-4931
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael F McAleer
Title
President
Phone
(563) 391-4834

Specialties & licenses 1

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

Addresses

Primary practice location

3402 Hickory Grove Rd
Davenport, IA 52806-3305

Mailing address

3402 Hickory Grove Rd
Davenport, IA 52806-3305
Phone (563) 391-4834

Other identifiers 1

IdentifierTypeStateIssuer
0228148MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Handicapped Development Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3402 Hickory Grove Rd
Davenport, IA 52806
Phone (563) 391-4834

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215089065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 HICKORY GROVE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063305",
            "telephone_number": "563-391-4834",
            "fax_number": "563-391-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 HICKORY GROVE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063305",
            "telephone_number": "563-391-4834",
            "fax_number": "563-391-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDICAPPED DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCALEER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-391-4834"
    },
    "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": "0228148",
            "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 22, 2020; 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.