Pasadena Villa Iowa LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PASADENA VILLA IOWA LLC

Doing business as

Pasadena Villa Outpatient- Quad Cities

Practice address

5405 Utica Ridge Rd Ste 206
Davenport, IA 52807-2938

Phone

(563) 484-7798

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Benjamin Brady

Title

Cfo

Phone

(615) 864-8145

Specialties & licenses 2

Addresses

Other names 1

• Pasadena Villa Outpatient- Quad Cities Doing business as

Tax ID family

Pasadena Villa Iowa LLC2 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.

• Pasadena Villa Iowa LLC

  • Substance Abuse Rehabilitation Facility
  • West Des Moines, IA
  • NPI 1124832720
  NPD tax ID

Locations

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1679392252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 UTICA RIDGE RD STE 206",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072938",
            "telephone_number": "563-484-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA VILLA IOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-864-8145"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Villa Outpatient- Quad Cities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• So Eun Park, DDS
• Parker Audiology, P.C.
• Molly Parker, AU.D., CCC-A
• Leann Parks, PHARMD
• Tyler Parrish, DMD
• Patel-Shah Dental Iowa PLLC
• Patrick D. Kelsall Crna PLC
• John J Patton, MD
• Logan Michel Patton
• James F Paul, D.D.S., M.S., M.D.

• Substance Abuse Rehabilitation Facility in Davenport, IA
• Providers in Davenport, IA by specialty
• Substance Abuse Rehabilitation Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.