Organization Active NPI

Chicot County Early Childhood Center

  • Developmentally Disabled Services Day Training Agency
  • Lake Village, AR
National Provider Identifier
1114050036
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
11418 Issued in AR
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Mrs. Eva J SykesNPI 1316266331
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.