Organization Active NPI

Arc of Dekalb County

  • Developmentally Disabled Services Day Training Agency
  • Fort Payne, AL
National Provider Identifier
1063019313
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ARC OF DEKALB COUNTY
Practice address
201 Grand Ave SW
Fort Payne, AL 35967-1917
Phone
(256) 845-0165
NPI assigned
Oct 8, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Mrs. Katrina Michelle Nix
Title
Fiscal Manager
Phone
(256) 638-7190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

201 Grand Ave SW
Fort Payne, AL 35967-1917

Mailing address

116 Wilson Ave
Rainsville, AL 35986-4606
Phone (256) 638-7190

National Provider Directory

National Provider Directory

Locations

201 Grand Ave SW
Fort Payne, AL 35967
Phone (256) 845-0165

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1063019313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WILSON AVE",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864606",
            "telephone_number": "256-638-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GRAND AVE SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359671917",
            "telephone_number": "256-845-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF DEKALB COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "256-638-7190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.