NPIMap

Organization Active NPI

Rock Island Supportive Living Center

Doing business as The Fort Armstrong

  • Assisted Living Facility
  • Rock Island, IL
National Provider Identifier
1518073634
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROCK ISLAND SUPPORTIVE LIVING CENTER
Doing business as
The Fort Armstrong
Practice address
1900 3Rd Avenue
Rock Island, IL 61201
Phone
(309) 786-0400
Fax
(309) 786-9729
NPI assigned
Aug 22, 2006
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Marci Halpert
Title
Manager
Phone
(847) 452-6804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1900 3Rd Avenue
Rock Island, IL 61201

Mailing address

1900 3Rd Ave.
Rock Island, IL 61201
Phone (309) 786-0400

Other names 1

  • The Fort Armstrong Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1518073634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 3RD AVE.",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-786-0400",
            "fax_number": "309-786-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 3RD AVENUE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-786-0400",
            "fax_number": "309-786-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK ISLAND SUPPORTIVE LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-452-6804"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Fort Armstrong",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.