Quad Cities Citizens With Autism Rehabilitation Enterprise

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

17053152018035 Issued in IL

Legal business name

QUAD CITIES CITIZENS WITH AUTISM REHABILITATION ENTERPRISE

Practice address

1905 W 40TH St
Apt 304
Davenport, IA 52806-4705

Phone

(309) 269-0803

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Elijah Roberts

Title

Ceo QC Care

Phone

(309) 269-0803

Specialties & licenses 1

Addresses

Other names 1

• QC CARE Other name

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1306926175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 7TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-786-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 40TH ST",
            "address_2": "APT 304",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064705",
            "telephone_number": "309-269-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES CITIZENS WITH AUTISM REHABILITATION ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "CEO QC CARE",
        "authorized_official_telephone_number": "309-269-0803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "17053152018035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QC CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• QC Doula Connect
• QC Family Dentistry
• QC Family Eye Care PLLC
• Qccounselor
• Quad Cities Audiology Consultants, P.C. (Audiology Consultants, P.C.)
• Quad Cities Family Foot and Ankle Specialists
• Quad Cities Health & Wellness, LLC
• Quad Cities Infectious Diseases, LLC
• Quad Cities Integrative Wellness
• Quad Cities Interfaith

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Davenport, IA
• Providers in Davenport, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.