NPIMap

Organization Active NPI

Community Alternatives Missouri, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Hannibal, MO
National Provider Identifier
1407919566
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMUNITY ALTERNATIVES MISSOURI, INC.
Practice address
909 Broadway Ste 300
Hannibal, MO 63401-4249
Phone
(314) 965-1307
Fax
(314) 965-1352
NPI assigned
Dec 19, 2006
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Mary A Pank
Title
Paralegal
Phone
(502) 394-2100

Specialties & licenses 1

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

Addresses

Primary practice location

909 Broadway Ste 300
Hannibal, MO 63401-4249

Mailing address

805 N. Whittingotn Pkwy, Suite 400
Louisville, KY 40222-3808

Other practice location 1

2012 Orchard Ave
Hannibal, MO 63401-6006
Phone (502) 394-2100

Other identifiers 1

IdentifierTypeStateIssuer
852589902MedicaidMO

Other names 1

  • Upward Bound Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Alternatives Missouri Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1407919566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N. WHITTINGOTN PKWY, SUITE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BROADWAY STE 300",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634014249",
            "telephone_number": "314-965-1307",
            "fax_number": "314-965-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 Orchard Ave",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016006",
            "country_code": "US",
            "telephone_number": "502-394-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY ALTERNATIVES MISSOURI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "PANK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852589902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upward Bound",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Upward Bound",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.