Center For The Developmentally Disabled in Independence - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Center For The Developmentally Disabled - NPI 1558569103
Center For The Developmentally Disabled is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Independence, Missouri. Center For The Developmentally Disabled practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Center For The Developmentally Disabled is 1558569103. The last update date is 2016-06-07.
Center For The Developmentally Disabled's current location address is 3704 S. Blue Ridge Blvd, Independence, Missouri. You can contact this provider via phone number 8168363462 and fax number 8168365158. The mailing address for Center For The Developmentally Disabled is 3704 S. Blue Ridge Blvd, Independence, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For The Developmentally Disabled |
|---|---|
| Address | 3704 S. Blue Ridge Blvd, Independence, Missouri |
| Phone Number | 8168363462 |
| Fax Number | 8168365158 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mudd H Sarah |
| Telephone Number | 8165310045 |
NPI Number Detail
| NPI Number | 1558569103 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2016-06-07 |
Provider Mailing Address Detail
| Address | 3704 S. Blue Ridge Blvd |
|---|---|
| City | Independence |
| State | Missouri (MO) |
| Post Code | 64052 |
| Phone Number | 8168363462 |
| Fax Number | 8168365158 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 853016301 | MO | -- |
Post Comment/ Review Below
What is the Center For The Developmentally Disabled's unique identification number?
The Center For The Developmentally Disabled has been assigned the NPI (National Provider Identifier) Number 1558569103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Center For The Developmentally Disabled is physically located?
The Center For The Developmentally Disabled is physically situated at the following address: 3704 S. Blue Ridge Blvd, Independence, MO, 64052.
What is the Center For The Developmentally Disabled's specialty and taxonomy code?
The Center For The Developmentally Disabled's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558569103 to Center For The Developmentally Disabled?
The Center For The Developmentally Disabled received its 1558569103 assignment from the Centers for Medicare & Medicaid Services on 2007-07-05.
When was the information regarding Center For The Developmentally Disabled most recently updated?
The details pertaining to the Center For The Developmentally Disabled, including its address, specialty, and other relevant information, were last refreshed on 2016-06-07.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC