NPIMap

Organization Active NPI

Family Connections, Inc

  • Case Management Agency
  • Council Bluffs, IA
National Provider Identifier
1740357300
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FAMILY CONNECTIONS, INC
Practice address
500 Willow Ave
Suite 305
Council Bluffs, IA 51503-0827
Phone
(712) 256-4420
Fax
(712) 256-4423
NPI assigned
Nov 29, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Trent L Rice
Title
Director
Phone
(712) 256-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

500 Willow Ave
Suite 305
Council Bluffs, IA 51503-0827

Mailing address

500 Willow Ave
Suite 305
Council Bluffs, IA 51503-0827
Phone (712) 256-4420

Other identifiers 1

IdentifierTypeStateIssuer
1010744MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200526000183 IA Part B Supplier - Clinic/Group Practice 9234550419 Receives reassigned benefits from 22 practitioners
Practice locations: Woodbine, IA; West Des Moines, IA; Glenwood, IA; Council Bluffs, IA

National Provider Directory

National Provider Directory
Tax ID family
Family Connections Inc2 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.

Locations

1720 N 16th St
Ste K
Council Bluffs, IA 51501
Phone (712) 256-4420

22060 221st St
#100
Glenwood, IA 51534

304 S Locust St
Glenwood, IA 51534
Phone (712) 527-2823

523 Walker St
Woodbine, IA 51579
Phone (712) 263-0218

61 4th St
Woodbine, IA 51579
Phone (712) 256-4420

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1740357300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WILLOW AVE",
            "address_2": "SUITE 305",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030827",
            "telephone_number": "712-256-4420",
            "fax_number": "712-256-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WILLOW AVE",
            "address_2": "SUITE 305",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030827",
            "telephone_number": "712-256-4420",
            "fax_number": "712-256-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "712-256-4420",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010744",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.