Ferndale Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FERNDALE INC

Practice address

15677 County Road 2430
St James, MO 65559-8210

Phone

(573) 265-3344

Fax

(573) 265-1119

NPI assigned

Apr 3, 2007

Last updated

Jun 29, 2011By 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. Rhonda Jean Gilbert

Title

House Manager

Phone

(573) 265-3344

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Ferndale Inc2 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.

• Ferndale, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Saint James, MO
  • NPI 1649328204
  NPD tax ID

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1235250440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15677 COUNTY ROAD 2430",
            "city": "ST JAMES",
            "state": "MO",
            "postal_code": "655598210",
            "telephone_number": "573-265-3344",
            "fax_number": "573-265-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15677 COUNTY ROAD 2430",
            "city": "ST JAMES",
            "state": "MO",
            "postal_code": "655598210",
            "telephone_number": "573-265-3344",
            "fax_number": "573-265-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNDALE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "HOUSE MANAGER",
        "authorized_official_telephone_number": "573-265-3344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856796503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merla Diesta Deo, OTR
• Mary Frances Downey-Jones, PLPC
• Christine G Durbin, FNP
• Kathy Lynn Eller
• Shauna Evans
• Ferndale, Inc.
• Forest City Family Practice LLC
• Forest City Family Practice LLC
• Franklin C Gica, P.T.
• Rachelle L Gorrell, D.O.

• Developmentally Disabled Services Day Training Agency in Saint James, MO
• Providers in Saint James, 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 Jun 29, 2011; 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.