Organization Active NPI

Partners in Your Community, Inc.

  • Developmentally Disabled Services Day Training Agency
  • El Dorado Springs, MO
National Provider Identifier
1245385491
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
17550246 Issued in MO
Legal business name
PARTNERS IN YOUR COMMUNITY, INC.
Practice address
5085 E Highway 54
El Dorado Springs, MO 64744-8589
Phone
(417) 876-5500
Fax
(417) 876-5575
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Mrs. Julie McCullick
Title
Director of Services
Phone
(417) 876-5500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 17550246 MO Primary
Community/Behavioral Health Agency 251S00000X 17550246 MO
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 17550246 MO

Addresses

Primary practice location

5085 E Highway 54
El Dorado Springs, MO 64744-8589

Mailing address

PO Box 268
5085 East Highway 54
El Dorado Springs, MO 64744-0268
Phone (417) 876-5500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1245385491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "address_2": "5085 EAST HIGHWAY 54",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647440268",
            "telephone_number": "417-876-5500",
            "fax_number": "417-876-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 E HIGHWAY 54",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647448589",
            "telephone_number": "417-876-5500",
            "fax_number": "417-876-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN YOUR COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "MCCULLICK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "417-876-5500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "17550246",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "17550246",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "17550246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.