NPIMap

Organization Active NPI

Family Solutions Services, Inc.

  • Community/Behavioral Health Agency
  • Orange City, IA
National Provider Identifier
1891870374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2984003 Issued in IA
Legal business name
FAMILY SOLUTIONS SERVICES, INC.
Practice address
4290 Jay Ave
Orange City, IA 51041-7584
Phone
(712) 898-1245
Fax
(712) 239-1136
NPI assigned
Oct 25, 2006
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
Mrs. Nichole Renae Hanks, BA
Title
Executive Director
Phone
(712) 898-1245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2984003 IA Primary

Addresses

Primary practice location

4290 Jay Ave
Orange City, IA 51041-7584

Mailing address

4290 Jay Ave
Orange City, IA 51041-7584
Phone (712) 898-1245

Other identifiers 2

IdentifierTypeStateIssuer
0494716MedicaidIA
1014993MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000807 IA Part B Supplier - Clinic/Group Practice 1951479591 Receives reassigned benefits from 7 practitioners
Practice locations: Cherokee, IA; Le Mars, IA; Orange City, IA; Sioux City, IA

National Provider Directory

National Provider Directory

Locations

119 S 4th St
Ste 4
Cherokee, IA 51012
Phone (712) 707-9222

209 1st St NE
Ste 105
Orange City, IA 51041
Phone (712) 707-9222

1217 Highway 10 W
Orange City, IA 51041
Phone (712) 707-9222

505 5th St
Ste 510
Sioux City, IA 51101
Phone (712) 258-4553

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891870374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 JAY AVE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510417584",
            "telephone_number": "712-898-1245",
            "fax_number": "712-239-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 JAY AVE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510417584",
            "telephone_number": "712-898-1245",
            "fax_number": "712-239-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SOLUTIONS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-898-1245",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "2984003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0494716",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014993",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, 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.
  • 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.