NPIMap

Organization Active NPI

Association for Retarded Citizens of Rock Island County

  • Intellectual Disabilities Intermediate Care Facility
  • Rock Island, IL
National Provider Identifier
1669641205
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0038505 Issued in IL
Legal business name
ASSOCIATION FOR RETARDED CITIZENS OF ROCK ISLAND COUNTY
Practice address
2850 9TH St
Rock Island, IL 61201-5210
Phone
(309) 786-6474
Fax
(309) 786-9861
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mr. David D Daughtery
Title
Director of Fiscal Operations
Phone
(309) 786-6474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0038505 IL Primary

Addresses

Primary practice location

2850 9TH St
Rock Island, IL 61201-5210

Mailing address

2850 9TH St
Rock Island, IL 61201-5210
Phone (309) 786-6474

Other names 1

  • Ninth Street Place Other name

National Provider Directory

National Provider Directory
Tax ID family
Association for Retarded Citizens of Rock Island County8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2850 9th St
Rock Island, IL 61201
Phone (309) 786-6474

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1669641205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 9TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015210",
            "telephone_number": "309-786-6474",
            "fax_number": "309-786-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 9TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015210",
            "telephone_number": "309-786-6474",
            "fax_number": "309-786-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION FOR RETARDED CITIZENS OF ROCK ISLAND COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "DAUGHTERY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF FISCAL OPERATIONS",
        "authorized_official_telephone_number": "309-786-6474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0038505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ninth Street Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 28, 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.