Specialty Products & Services, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SPECIALTY PRODUCTS & SERVICES, INC

Doing business as

Quail Run Group Home

Practice address

402 S Walnut St
Dexter, MO 63841-2146

Phone

(573) 624-9925

Fax

(573) 624-9928

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Chastity Ann Courter

Title

Administrative Assistant

Phone

(573) 624-9925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quail Run Group Home Doing business as

Tax ID family

Specialty Products Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Specialty Products & Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Dexter, MO
  • NPI 1003930520
  NPD tax ID
• Specialty Products & Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dudley, MO
  • NPI 1386924637
  NPD tax ID

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1316062763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S WALNUT ST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412146",
            "telephone_number": "573-624-9925",
            "fax_number": "573-624-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S WALNUT ST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412146",
            "telephone_number": "573-624-9925",
            "fax_number": "573-624-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PRODUCTS & SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "COURTER",
        "authorized_official_first_name": "CHASTITY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "573-624-9925",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857834212",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quail Run Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Spcialty in Home Services Inc
• Specialty in Home Services Inc
• Specialty Products & Services, Inc.
• John Loren Starwalt, DO
• Phillip Wesley Stegman, PHARMD
• Stoddard Co Arc
• Stoddard County Ambulance District

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dexter, MO
• Providers in Dexter, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.