Organization Active NPI

Family Resources, Inc

  • Community/Behavioral Health Agency
  • Davenport, IA
National Provider Identifier
1306904776
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
420698225 Issued in IA
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

Updated by the provider on Aug 12, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.