Chariton Co. Sheltered Workshop, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CHARITON CO. SHELTERED WORKSHOP, INC.

Practice address

30109 Cleve Iman LN
Keytesville, MO 65261-2600

Phone

(660) 288-3693

Fax

(660) 288-2213

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Martha Louise Nanneman

Title

Manager

Phone

(660) 288-3693

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1366623647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30109 CLEVE IMAN LN",
            "city": "KEYTESVILLE",
            "state": "MO",
            "postal_code": "652612600",
            "telephone_number": "660-288-3693",
            "fax_number": "660-288-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30109 CLEVE IMAN LN",
            "city": "KEYTESVILLE",
            "state": "MO",
            "postal_code": "652612600",
            "telephone_number": "660-288-3693",
            "fax_number": "660-288-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITON CO. SHELTERED WORKSHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "NANNEMAN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "660-288-3693",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Joseph Burle III, D.C.
• Chariton County Health Dept.
• Evan Michael Emmerich, D.C.
• Rainbow Gardens Housing Corp.
• School District R-3 Keytesville (Keytesville R-III School District)
• Beth Marie Sloan, MS CCC SLP

• Developmentally Disabled Services Day Training Agency in Keytesville, MO
• Providers in Keytesville, MO by specialty
• Developmentally Disabled Services Day Training Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.