Clinco Sheltered Industries, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CLINCO SHELTERED INDUSTRIES, INC.

Practice address

1205 W Grand Ave
Cameron, MO 64429-1186

Phone

(816) 632-3966

Fax

(816) 632-3248

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Evelyn Clemons

Title

Manager

Phone

(816) 632-3966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154460384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 W GRAND AVE",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291186",
            "telephone_number": "816-632-3966",
            "fax_number": "816-632-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W GRAND AVE",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291186",
            "telephone_number": "816-632-3966",
            "fax_number": "816-632-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINCO SHELTERED INDUSTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-632-3966",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Campbell, ANP
• Mark Landis Carr, DDS
• Charles E Chatfield, NP-C
• Clay Poplin LCSW, LLC
• Jennifer Larae Clemons, COTA/L
• Marci Rhea Cline, FNP-C
• Abby Coles-Johnson, P.T.
• Guy A Corazzin, CRNA
• Bonnie Lou Cox, C.O.T.A
• Kimberly Sue Criss

• Developmentally Disabled Services Day Training Agency in Cameron, MO
• Providers in Cameron, MO by specialty
• Developmentally Disabled Services Day Training Agency in Missouri

• 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.