Organization Active NPI

Independent Child & Adult Services, Inc

  • Voluntary or Charitable Agency
  • Vinton, IA
National Provider Identifier
1457581381
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
INDEPENDENT CHILD & ADULT SERVICES, INC
Practice address
905 D Ave
Vinton, IA 52349-1368
Phone
(319) 472-4501
Fax
(319) 472-4510
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Kimberley Roberts, LMSWNPI 1073817730
Title
Executive Director
Phone
(319) 472-4501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X IA Primary

Addresses

Primary practice location

905 D Ave
Vinton, IA 52349-1368

Mailing address

905 D Ave
Vinton, IA 52349-1368
Phone (319) 472-4501

National Provider Directory

National Provider Directory
Tax ID family
Independent Child Adult Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

905 D Ave
Vinton, IA 52349
Phone (319) 472-4501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1457581381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 D AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491368",
            "telephone_number": "319-472-4501",
            "fax_number": "319-472-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 D AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491368",
            "telephone_number": "319-472-4501",
            "fax_number": "319-472-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT CHILD & ADULT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-472-4501",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.