NPIMap

Organization Active NPI

Skills Unlimited Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Nevada, MO
National Provider Identifier
1346365343
Registry record updated Aug 22, 2020
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
2000 N Elm St
Nevada, MO 64772-1073
Phone
(417) 667-2033
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1970-9161 MO Primary

Addresses

Primary practice location

2000 N Elm St
Nevada, MO 64772-1073

Mailing address

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

Other names 1

  • SKILLS UNLIMITED ELM 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.

Locations

2000 N Elm St
Nevada, MO 64772
Phone (417) 667-2033

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": "1598054400000",
    "number": "1346365343",
    "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": "2000 N ELM ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721073",
            "telephone_number": "417-667-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1970-9161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKILLS UNLIMITED ELM",
            "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 Aug 22, 2020; 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.