FAMILY RESOURCES INC NPI 1275598054

NPI Information

NPI: 1275598054
Provider Name: FAMILY RESOURCES INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
2800 EASTERN AVE
DAVENPORT, IA
ZIP 52803
Phone: (563) 326-6431
Get Directions

FAMILY RESOURCES INC is a residential treatment facility emotionally disturbed children in Davenport, IA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FAMILY RESOURCES INC NPI is 1275598054. The provider is registered as an organization entity type.

The provider's business location address is:

2800 EASTERN AVE
DAVENPORT, IA
ZIP 52803
Phone: (563) 326-6431
Fax: (563) 326-2013

The provider's authorized official is Cheryl E Goodwin .
The authorized official title is C.e.o. and has the following contact phone number (563) 326-6431.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 6/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	251S00000X	Community/Behavioral Health	IOWA	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	IOWA	No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0465559	MEDICAID	IOWA
2	1102749	MEDICAID	IOWA
3	0102749	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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