NPIMap

Organization Active NPI

Forrester-Davis Development Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Clarksville, AR
National Provider Identifier
1184784670
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FORRESTER-DAVIS DEVELOPMENT CENTER, INC.
Practice address
1000 W Buchanan St
Clarksville, AR 72830-2252
Phone
(479) 754-6210
Fax
(479) 754-7015
NPI assigned
Dec 12, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Joy Wilson
Title
Center Administrator
Phone
(479) 754-6210

Specialties & licenses 1

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

Addresses

Primary practice location

1000 W Buchanan St
Clarksville, AR 72830-2252

Mailing address

1000 W Buchanan St
Clarksville, AR 72830-2252
Phone (479) 754-6210

National Provider Directory

National Provider Directory

Locations

1000 W Buchanan St
Clarksville, AR 72830
Phone (479) 754-6210

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184784670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BUCHANAN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728302252",
            "telephone_number": "479-754-6210",
            "fax_number": "479-754-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BUCHANAN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728302252",
            "telephone_number": "479-754-6210",
            "fax_number": "479-754-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORRESTER-DAVIS DEVELOPMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CENTER ADMINISTRATOR",
        "authorized_official_telephone_number": "479-754-6210",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.