NPIMap

Organization Active NPI

Specialty Products & Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Dexter, MO
National Provider Identifier
1003930520
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SPECIALTY PRODUCTS & SERVICES, INC.
Practice address
402 S Walnut St
Dexter, MO 63841-2146
Phone
(573) 624-9925
Fax
(573) 624-9928
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Ms. Chastity Ann Courter
Title
Administrative Assistant
Phone
(573) 624-9925

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Respite Care 385H00000X

Addresses

Primary practice location

402 S Walnut St
Dexter, MO 63841-2146

Mailing address

402 S Walnut St
Dexter, MO 63841-2146
Phone (573) 624-9925

Other identifiers 1

IdentifierTypeStateIssuer
857834204MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Specialty Products Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1003930520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S WALNUT ST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412146",
            "telephone_number": "573-624-9925",
            "fax_number": "573-624-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S WALNUT ST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412146",
            "telephone_number": "573-624-9925",
            "fax_number": "573-624-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PRODUCTS & SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "COURTER",
        "authorized_official_first_name": "CHASTITY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "573-624-9925",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857834204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.