NPIMap

Organization Active NPI

Abbe Center for Community Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Marion, IA
National Provider Identifier
1639208341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ABBE CENTER FOR COMMUNITY CARE
Practice address
1860 County Home Rd
Marion, IA 52302-9753
Phone
(319) 398-3534
Fax
(319) 398-3504
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Craig BradkeNPI 1083765275
Title
Administrator
Phone
(319) 398-3534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1860 County Home Rd
Marion, IA 52302-9753

Mailing address

800 1St St NW
Cedar Rapids, IA 52405-2713
Phone (319) 398-3617

Other identifiers 1

IdentifierTypeStateIssuer
1231100MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Abbe Center for Community Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639208341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052713",
            "telephone_number": "319-398-3617",
            "fax_number": "319-398-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 COUNTY HOME RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523029753",
            "telephone_number": "319-398-3534",
            "fax_number": "319-398-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBE CENTER FOR COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "13193983534"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1231100",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.