Organization Active NPI

Skills Unlimited Inc

  • Developmentally Disabled Services Day Training Agency
  • Nevada, MO
National Provider Identifier
1336264340
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1970-9161 Issued in MO
Legal business name
SKILLS UNLIMITED INC
Practice address
114 W Hunter St
Nevada, MO 64772-2327
Phone
(417) 667-6021
NPI assigned
Mar 20, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Doug Nickelson
Title
Director of Administration
Phone
(417) 667-6021

Specialties & licenses 2

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

Addresses

Primary practice location

114 W Hunter St
Nevada, MO 64772-2327

Mailing address

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

Other names 1

  • SKILLS UNLIMITED ISL Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2205936Skills Unlimited, Inc114 W Hunter, Nevada, MO 64772Certificate of waiverDec 15, 2026

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1336264340",
    "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": "114 W HUNTER ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647722327",
            "telephone_number": "417-667-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NICKELSON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "417-667-6021"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "1970-9161",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1970-9161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKILLS UNLIMITED ISL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.