Organization Active NPI

Monroe County Human Development Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Brinkley, AR
National Provider Identifier
1003973835
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MONROE COUNTY HUMAN DEVELOPMENT CENTER, INC.
Practice address
1116 N New York Ave
Brinkley, AR 72021-2126
Phone
(870) 734-1155
Fax
(870) 734-1156
NPI assigned
Jan 2, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mary L Harlin
Title
Executive Director
Phone
(870) 734-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1116 N New York Ave
Brinkley, AR 72021-2126

Mailing address

1116 N New York Ave
Brinkley, AR 72021-2126
Phone (870) 734-1155

National Provider Directory

National Provider Directory

Locations

1116 N New York Ave
Brinkley, AR 72021
Phone (870) 734-1155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1003973835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N NEW YORK AVE",
            "city": "BRINKLEY",
            "state": "AR",
            "postal_code": "720212126",
            "telephone_number": "870-734-1155",
            "fax_number": "870-734-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N NEW YORK AVE",
            "city": "BRINKLEY",
            "state": "AR",
            "postal_code": "720212126",
            "telephone_number": "870-734-1155",
            "fax_number": "870-734-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY HUMAN DEVELOPMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "HARLIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-734-1155"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brinkley, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.