Organization Active NPI

Community Developmental Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Martin, TN
National Provider Identifier
1104956846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMUNITY DEVELOPMENTAL SERVICES, INC
Practice address
455 Hannings Lane
Martin, TN 38237
Phone
(731) 587-3851
Fax
(731) 587-0548
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kim Turner
Title
Accountant
Phone
(731) 587-3851

Specialties & licenses 1

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

Addresses

Primary practice location

455 Hannings Lane
Martin, TN 38237

Mailing address

455 Hannings Lane
Martin, TN 38237
Phone (731) 587-3851

Other names 1

  • CDS, INC Other name

National Provider Directory

National Provider Directory

Locations

455 Hannings Ln
Martin, TN 38237
Phone (731) 587-3851

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104956846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 HANNINGS LANE",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "38237",
            "telephone_number": "731-587-3851",
            "fax_number": "731-587-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HANNINGS LANE",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "38237",
            "telephone_number": "731-587-3851",
            "fax_number": "731-587-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DEVELOPMENTAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "731-587-3851"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDS, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.