NPIMap

Organization Active NPI

Marshall County Assn. for Exceptional Children and Adults, Inc

  • Developmentally Disabled Services Day Training Agency
  • Benton, KY
National Provider Identifier
1376604256
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
MARSHALL COUNTY ASSN. FOR EXCEPTIONAL CHILDREN AND ADULTS, INC
Practice address
198 Old Symsonia Road
Benton, KY 42025
Phone
(127) 052-7132
Fax
(127) 052-7229
NPI assigned
Dec 13, 2006
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
Judi Smith
Title
Executive Director
Phone
(270) 527-1327

Specialties & licenses 1

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

Addresses

Primary practice location

198 Old Symsonia Road
Benton, KY 42025

Mailing address

PO Box 423
Benton, KY 42025-0423
Phone (127) 052-7132

Other identifiers 1

IdentifierTypeStateIssuer
33300435MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376604256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420250423",
            "telephone_number": "127-052-7132",
            "fax_number": "127-052-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 OLD SYMSONIA ROAD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "42025",
            "telephone_number": "127-052-7132",
            "fax_number": "127-052-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY ASSN. FOR EXCEPTIONAL CHILDREN AND ADULTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "12705271327"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33300435",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

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.