Active NPI
Skillset LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Joplin, MO
National Provider Identifier
1407239171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jefferson City, MO
- NPI 1033534094
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- East Prairie, MO
- NPI 1275992059
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.