NPIMap

Abbe Center for CMH at Manor Care Health

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Cedar Rapids, IA

NPI 1639336993 · NPPES record last updated May 22, 2008

Key facts

NPI
1639336993
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
ABBE CENTER FOR CMH AT MANOR CARE HEALTH
Practice address
1940 1St Ave NE
Cedar Rapids, IA 52402-5321
Phone
(319) 398-3562
Fax
(319) 398-3501
NPI assigned
May 22, 2008
Organization subpart
No

Authorized official

Name
Cindy Kaestner, LISW
Title
Executive Director
Phone
31939835662

Corporate family (same tax ID) 26

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

View all 26

National Provider Directory

Tax ID family
Abbe Center for CMH at Manor Care Health (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

1940 1St Ave NE
Cedar Rapids, IA 52402-5321

Mailing address

520 11TH St NW
Cedar Rapids, IA 52405-3811
Phone (319) 398-3562

Other identifiers

IdentifierTypeStateIssuer
0074575MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 22, 2008.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1639336993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 11TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053811",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025321",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBE CENTER FOR CMH AT MANOR CARE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "KAESTNER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "31939835662",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074575",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

All providers in Cedar Rapids, IA · Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

Sources for this page

Verify at the official NPI Registry.