NPIMap

Organization Active NPI

Developmental Services of Franklin County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Union, MO
National Provider Identifier
1457584906
Registry record updated Sep 1, 2009
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
DEVELOPMENTAL SERVICES OF FRANKLIN COUNTY
Practice address
104 S McKinley Ave
Ste E
Union, MO 63084-1800
Phone
(636) 583-5801
Fax
(636) 583-5597
NPI assigned
Sep 1, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Mrs. Connie L. Struckhoff
Title
Office Manager
Phone
(636) 583-5801

Specialties & licenses 1

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

Addresses

Primary practice location

104 S McKinley Ave
Ste E
Union, MO 63084-1800

Mailing address

104 S McKinley Ave
Ste E
Union, MO 63084-1800
Phone (636) 583-5801

Other identifiers 2

IdentifierTypeStateIssuer
1972643807MedicaidMO
1932240561MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Developmental Services of Franklin County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1457584906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S MCKINLEY AVE",
            "address_2": "STE E",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841800",
            "telephone_number": "636-583-5801",
            "fax_number": "636-583-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MCKINLEY AVE",
            "address_2": "STE E",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841800",
            "telephone_number": "636-583-5801",
            "fax_number": "636-583-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL SERVICES OF FRANKLIN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "STRUCKHOFF",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-583-5801",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "1972643807",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932240561",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.