Active NPI
Family Resources, Inc
- Community/Behavioral Health Agency
- Davenport, IA
National Provider Identifier
1306904776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 420698225
- Legal business name
- FAMILY RESOURCES, INC
- Practice address
- 805 W 35TH St Ste 200
Davenport, IA 52806-5807 - Phone
- (563) 445-0557
- Fax
- (563) 445-1604
- NPI assigned
- Dec 5, 2006
- 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
- Christine Gradert, LISW
- Title
- Vice President
- Phone
- (563) 326-2122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 420698225 | IA | Primary |
Addresses
Primary practice location
805 W 35TH St Ste 200
Davenport, IA 52806-5807
Mailing address
805 W 35TH St Ste 200
Davenport, IA 52806-5807
Phone (563) 445-0557
National Provider Directory
National Provider DirectoryLocations
805 W 35th St
Ste 200
Davenport, IA 52806
Phone (563) 326-9191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1306904776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W 35TH ST STE 200",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528065807",
"telephone_number": "563-445-0557",
"fax_number": "563-445-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W 35TH ST STE 200",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528065807",
"telephone_number": "563-445-0557",
"fax_number": "563-445-1604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY RESOURCES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "GRADERT",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "563-326-2122",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IA",
"license": "420698225",
"primary": true
}
],
"identifiers": [],
"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 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.