Organization Active NPI

Dunklin Day Activity Center

  • Developmentally Disabled Services Day Training Agency
  • Kennett, MO
National Provider Identifier
1366571333
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
DUNKLIN DAY ACTIVITY CENTER
Practice address
320 Kennett St
Kennett, MO 63857-3018
Phone
(573) 888-1727
Fax
(573) 888-4557
NPI assigned
Mar 5, 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
Ms. Leah Mobley, BSW
Title
Director
Phone
(573) 888-1727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

320 Kennett St
Kennett, MO 63857-3018

Mailing address

320 Kennett St
Kennett, MO 63857-3018
Phone (573) 888-1727

National Provider Directory

National Provider Directory

Locations

320 Kennett St
Kennett, MO 63857
Phone (573) 888-1727

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366571333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 KENNETT ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573018",
            "telephone_number": "573-888-1727",
            "fax_number": "573-888-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KENNETT ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573018",
            "telephone_number": "573-888-1727",
            "fax_number": "573-888-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNKLIN DAY ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-888-1727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, 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.