Active NPI
Hand in Hand
- Respite Care
- Bettendorf, IA
National Provider Identifier
1912099425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 4182199
- Legal business name
- HAND IN HAND
- Practice address
- 3860 Middle Rd
Bettendorf, IA 52722-5326 - Phone
- (563) 332-0520
- Fax
- (563) 332-7396
- NPI assigned
- Sep 29, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Smith
- Title
- Vice President
- Phone
- (563) 332-0520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 4182199 | IA | Primary |
Addresses
Primary practice location
3860 Middle Rd
Bettendorf, IA 52722-5326
Mailing address
3860 Middle Rd
Bettendorf, IA 52722-5326
Phone (563) 332-0520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0236067 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912099425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 MIDDLE RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527225326",
"telephone_number": "563-332-0520",
"fax_number": "563-332-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 MIDDLE RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527225326",
"telephone_number": "563-332-0520",
"fax_number": "563-332-7396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAND IN HAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "563-332-0520",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "IA",
"license": "4182199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0236067",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.