Big Lakes Developmental Center Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BIG LAKES DEVELOPMENTAL CENTER INC

Practice address

1416 Hayes Dr
Manhattan, KS 66502-5066

Phone

(785) 776-9201

Fax

(785) 776-9830

NPI assigned

Apr 9, 2007

Last updated

Mar 6, 2014By 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

Phillip Korenek

Title

Cfo

Phone

(785) 776-9201

Specialties & licenses 6

Addresses

Other identifiers 2

Tax ID family

Big Lakes Developmental Center 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.

• Big Lakes Developmental Center Inc

  • Case Management Agency
  • Manhattan, KS
  • NPI 1417077082
  NPD tax ID

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1275656035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 HAYES DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025066",
            "telephone_number": "785-776-9201",
            "fax_number": "785-776-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 HAYES DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025066",
            "telephone_number": "785-776-9201",
            "fax_number": "785-776-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG LAKES DEVELOPMENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "KORENEK",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-776-9201"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100009080B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100008410A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura L. Berryhill, DPT
• Rylee Best
• Beyond Ideas Counseling, LLC
• Greg A Biberstein, M. D.
• Patricia Elaine Bidwell, RT
• Big Lakes Developmental Center Inc
• Madeline Grace Biggs, COTA/L
• Anna Binder McAsey, R.D, L.D.
• Jamie L Binns, AU.D.
• Valerie Binns

• Developmentally Disabled Services Day Training Agency in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Developmentally Disabled Services Day Training Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.