NPIMap

Organization Active NPI

Developmental Resources, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Belmond, IA
National Provider Identifier
1124094370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
990774 Issued in IA
Legal business name
DEVELOPMENTAL RESOURCES, INC.
Practice address
319 Country Club Dr
Belmond, IA 50421-1740
Phone
(641) 444-7370
NPI assigned
Feb 27, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Brent V Aberg
Title
Executive Director
Phone
(641) 585-5450

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Developmental Resources Inc (12 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 990774 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

319 Country Club Dr
Belmond, IA 50421-1740

Mailing address

102 W Park St
Forest City, IA 50436-2132
Phone (641) 585-5450

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
IA04135OtherIASUBMITTER ID
0880849MedicaidIA

Other names 1

NPPES NPI Registry
  • Krysilis, Inc.-Belmond 2 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124094370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PARK ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504362132",
            "telephone_number": "641-585-5450",
            "fax_number": "641-585-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 COUNTRY CLUB DR",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211740",
            "telephone_number": "641-444-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABERG",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "641-585-5450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "990774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER ID",
            "identifier": "IA04135",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880849",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krysilis, Inc.-Belmond 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belmond, IA

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.