Skillset LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SKILLSET LLC

Practice address

1212 Satinwood Dr
Jefferson City, MO 65109-1938

Phone

(573) 619-4131

NPI assigned

Feb 28, 2014

Organization subpart

No

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

Authorized official

Name

Gustave EppleNPI 1215352273

Title

Executive Director

Phone

(573) 619-4131

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Skillset LLC3 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.

• Skillset LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • East Prairie, MO
  • NPI 1275992059
  NPD tax ID
• Skillset LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Joplin, MO
  • NPI 1407239171
  NPD tax ID

Practitioners 1

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.

• Gustave Epple

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jefferson City, MO
  • NPI 1215352273
  Authorized official Same address or phone

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1033534094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SATINWOOD DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091938",
            "telephone_number": "573-619-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SATINWOOD DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091938",
            "telephone_number": "573-619-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "EPPLE",
        "authorized_official_first_name": "GUSTAVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-619-4131"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Simmons, MD
• Karen Lynn Simms, APRN, FNP
• Sam Ray Simms, M.D.
• Harjeet Bongbong Singh, MD
• Karminder Singh, MD
• Thomas Skipper, LCSW
• Kenneth Mark Skouby, LCSW
• Christopher D Slankard, CRNA
• Leslie Deanne Slaughter
• Tyler W Slaughter, D.D.S

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.