NPIMap

Organization Active NPI

Skills Unlimited Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • El Dorado Springs, MO
National Provider Identifier
1326170408
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1970-9161 Issued in MO
Legal business name
SKILLS UNLIMITED INC
Practice address
2410 S 601 Rd
El Dorado Springs, MO 64744-8245
Phone
(417) 876-5481
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Doug M Nickelson
Title
Executive Director
Phone
(417) 667-6021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1970-9161 MO
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1970-9161 MO Primary

Addresses

Primary practice location

2410 S 601 Rd
El Dorado Springs, MO 64744-8245

Mailing address

114 W Hunter St
Nevada, MO 64772-2327
Phone (417) 667-6021

Other identifiers 1

IdentifierTypeStateIssuer
853045540MedicaidMO

Other names 1

  • Skills Unlimited-Eldo Other name

National Provider Directory

National Provider Directory
Tax ID family
Skills Unlimited Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1326170408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W HUNTER ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647722327",
            "telephone_number": "417-667-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S 601 RD",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647448245",
            "telephone_number": "417-876-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "NICKELSON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-667-6021"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "1970-9161",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1970-9161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853045540",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skills Unlimited-Eldo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 1, 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.