Organization Active NPI

Skillset LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Joplin, MO
National Provider Identifier
1407239171
Registry record updated Jun 30, 2015
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
SKILLSET LLC
Practice address
2312 Annie Baxter Ave
Joplin, MO 64804-0329
Phone
(417) 624-4515
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Gustave Antone Epple
Title
Operations Director
Phone
(573) 619-4131

Specialties & licenses 1

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

Addresses

Primary practice location

2312 Annie Baxter Ave
Joplin, MO 64804-0329

Mailing address

1212 Satinwood Dr
Jefferson City, MO 65109-1938
Phone (573) 619-4131

National Provider Directory

National Provider Directory
Tax ID family
Skillset LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1407239171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SATINWOOD DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091938",
            "telephone_number": "573-619-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 ANNIE BAXTER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040329",
            "telephone_number": "417-624-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "EPPLE",
        "authorized_official_first_name": "GUSTAVE",
        "authorized_official_middle_name": "ANTONE",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "573-619-4131"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.