NPIMap

Organization Active NPI

Handicapped Development Center

  • Intellectual Disabilities Intermediate Care Facility
  • Davenport, IA
National Provider Identifier
1255482840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
820256 Issued in IA
Legal business name
HANDICAPPED DEVELOPMENT CENTER
Practice address
2700 Linwood CT
Davenport, IA 52806-1660
Phone
(563) 386-3011
Fax
(563) 386-4271
NPI assigned
Jan 12, 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
Mr. Michael F McAleer
Title
President
Phone
(563) 391-4834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 820256 IA Primary

Addresses

Primary practice location

2700 Linwood CT
Davenport, IA 52806-1660

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0880328MedicaidIA

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255482840",
    "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": "2700 LINWOOD CT",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528061660",
            "telephone_number": "563-386-3011",
            "fax_number": "563-386-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDICAPPED DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IA",
            "license": "820256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880328",
            "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.