Organization Active NPI

Developmental Milestones Center, LLC

  • Home Health Agency
  • West Memphis, AR
National Provider Identifier
1063076594
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEVELOPMENTAL MILESTONES CENTER, LLC
Practice address
700 N Missouri St
West Memphis, AR 72301-3150
Phone
(870) 733-0560
Fax
(870) 733-0561
NPI assigned
Apr 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Brittnay Williams
Title
Owner
Phone
(870) 733-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

700 N Missouri St
West Memphis, AR 72301-3150

Mailing address

700 N Missouri St
West Memphis, AR 72301-3150
Phone (870) 733-0560

Other practice location 1

312 N Missouri St Ste 1
West Memphis, AR 72301-3186
Phone (870) 733-0560

Other identifiers 1

IdentifierTypeStateIssuer
216289732MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1063076594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MISSOURI ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013150",
            "telephone_number": "870-733-0560",
            "fax_number": "870-733-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MISSOURI ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013150",
            "telephone_number": "870-733-0560",
            "fax_number": "870-733-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 N Missouri St Ste 1",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723013186",
            "country_code": "US",
            "telephone_number": "870-733-0560",
            "fax_number": "870-733-0561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEVELOPMENTAL MILESTONES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRITTNAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-733-0560"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216289732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.