Active NPI
Clinco Sheltered Industries, Inc.
- Developmentally Disabled Services Day Training Agency
- Cameron, MO
National Provider Identifier
1154460384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Evelyn Clemons
- Title
- Manager
- Phone
- (816) 632-3966
National Provider Directory
National Provider DirectoryLocations
1205 W Grand Ave
Cameron, MO 64429
Phone (816) 632-3966
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1205 W Grand Ave
Cameron, MO 64429-1186
Mailing address
1205 W Grand Ave
Cameron, MO 64429-1186
Phone (816) 632-3966
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": "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": []
}
Other providers in Cameron, MO
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.