NPIMap

Organization Active NPI

Center for the Developmentally Disabled

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Independence, MO
National Provider Identifier
1366640914
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CENTER FOR THE DEVELOPMENTALLY DISABLED
Practice address
1215 W. Truman Rd
Independence, MO 64050
Phone
(816) 836-3462
Fax
(816) 836-5158
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Ms. Sarah H Mudd
Title
Executive Director
Phone
(816) 531-0045

Specialties & licenses 1

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

Addresses

Primary practice location

1215 W. Truman Rd
Independence, MO 64050

Mailing address

1010 W. 39TH Street
Kansas City, MO 64111-3880
Phone (816) 531-0045

Other identifiers 1

IdentifierTypeStateIssuer
853351203MedicaidMO

Other names 1

  • Special Neighbors Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Center for Developmentally Disabled15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1366640914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W. 39TH STREET",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113880",
            "telephone_number": "816-531-0045",
            "fax_number": "816-756-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W. TRUMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64050",
            "telephone_number": "816-836-3462",
            "fax_number": "816-836-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR THE DEVELOPMENTALLY DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "MUDD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-531-0045",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853351203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Neighbors",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.