Active NPI
Chicot County Early Childhood Center
- Developmentally Disabled Services Day Training Agency
- Lake Village, AR
National Provider Identifier
1114050036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 11418
- Legal business name
- CHICOT COUNTY EARLY CHILDHOOD CENTER
- Practice address
- 422 Annex St
Lake Village, AR 71653-1809 - Phone
- (870) 265-4191
- Fax
- (870) 265-4192
- NPI assigned
- Mar 13, 2007
- Last updated
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Eva J Sykes
- Title
- Director
- Phone
- (870) 265-4191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 11418 | AR | Primary |
Addresses
Primary practice location
422 Annex St
Lake Village, AR 71653-1809
Mailing address
PO Box 801
Lake Village, AR 71653-0801
Phone (870) 265-4191
National Provider Directory
National Provider DirectoryLocations
422 Annex St
Lake Village, AR 71653
Phone (870) 265-4191
Practitioners & affiliated clinicians
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.
-
- Developmental Therapist
- Lake Village, AR
- NPI 1316266331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190073600000",
"number": "1114050036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "716530801",
"telephone_number": "870-265-4191",
"fax_number": "870-265-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 ANNEX ST",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "716531809",
"telephone_number": "870-265-4191",
"fax_number": "870-265-4192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICOT COUNTY EARLY CHILDHOOD CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2007-09-18",
"status": "A",
"authorized_official_last_name": "SYKES",
"authorized_official_first_name": "EVA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "870-265-4191",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "AR",
"license": "11418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.