Organization Active NPI

Manchester Center for Developmentally Disabled

  • Developmentally Disabled Services Day Training Agency
  • Manchester, MO
National Provider Identifier
1184753303
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
16629388 Issued in MO
Legal business name
MANCHESTER CENTER FOR DEVELOPMENTALLY DISABLED
Practice address
129 Woods Mill Rd
Manchester, MO 63011-4339
Phone
(636) 391-0251
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alyssa Contini
Title
Director
Phone
(636) 391-0251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 16629388 MO Primary

Addresses

Primary practice location

129 Woods Mill Rd
Manchester, MO 63011-4339

Mailing address

129 Woods Mill Rd
Manchester, MO 63011-4339

National Provider Directory

National Provider Directory
Tax ID family
Manchester Center for Developmentally Disabled2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

129 Woods Mill Rd
Manchester, MO 63011
Phone (636) 391-0251

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184753303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WOODS MILL RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WOODS MILL RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114339",
            "telephone_number": "636-391-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER CENTER FOR DEVELOPMENTALLY DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONTINI",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "636-391-0251"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "16629388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, 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.

Verify at the official NPI Registry.