The Imagination Station LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

THE IMAGINATION STATION LLC

Practice address

3286 W Hillsboro St Ste a
El Dorado, AR 71730-6734

Phone

(870) 818-7190

NPI assigned

Jan 9, 2025

Organization subpart

No

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

Authorized official

Name

Michelle GreenNPI 1497500425

Title

Director

Phone

(870) 818-7190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Green

  • Developmentally Disabled Services Day Training Agency
  • El Dorado, AR
  • NPI 1497500425

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1164232310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 TIDWELL ST",
            "city": "STEPHENS",
            "state": "AR",
            "postal_code": "717648354",
            "telephone_number": "870-818-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3286 W HILLSBORO ST STE A",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306734",
            "telephone_number": "870-818-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IMAGINATION STATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-818-7190"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sanequa Thompson, APRN, FNP-C
• Tara Lee Thompson, PT, DPT
• Daniel R Thrower, MD

• Developmentally Disabled Services Day Training Agency in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Developmentally Disabled Services Day Training Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.