Active NPI
Developmental Center of the Ozarks
- Adult Day Care Clinic/Center
- Springfield, MO
National Provider Identifier
1285705871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- DEVELOPMENTAL CENTER OF THE OZARKS
- Practice address
- 1545 E Pythian St
Springfield, MO 65802-2139 - Phone
- (417) 831-1545
- Fax
- (417) 831-7539
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allan McKelvy
- Title
- Executive Director
- Phone
- (417) 829-0899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1545 E Pythian St
Springfield, MO 65802-2139
Mailing address
1545 E Pythian St
Springfield, MO 65802-2139
Phone (417) 831-1545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293963906 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Developmental Center of the Ozarks
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Springfield, MO
- NPI 1083787139
-
- Developmentally Disabled Services Day Training Agency
- Springfield, MO
- NPI 1346314473
-
- Rehabilitation Clinic/Center
- Springfield, MO
- NPI 1396819876
-
- Adult Day Care Clinic/Center
- Springfield, MO
- NPI 1427078609
-
- Developmentally Disabled Services Day Training Agency
- Springfield, MO
- NPI 1962576090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348012800000",
"number": "1285705871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 E PYTHIAN ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658022139",
"telephone_number": "417-831-1545",
"fax_number": "417-831-7539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 E PYTHIAN ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658022139",
"telephone_number": "417-831-1545",
"fax_number": "417-831-7539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPMENTAL CENTER OF THE OZARKS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2012-09-19",
"status": "A",
"authorized_official_last_name": "MCKELVY",
"authorized_official_first_name": "ALLAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "417-829-0899"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "293963906",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Kathryne Rachelle Derrough, M.D.
- Neal Evan Desha, MED, LPC
- Indiana Desimone, LMSW
- William Russell Detten, D.O.
- Developmental Center of the Ozarks
- Developmental Center of the Ozarks
- Developmental Center of the Ozarks
- Developmental Center of the Ozarks
- Developmental Center of the Ozarks
- Developmental Center of the Ozarks
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.