Randolph County Developmental Disability Resources

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RANDOLPH COUNTY DEVELOPMENTAL DISABILITY RESOURCES

Doing business as

Randolph County Developmental Disability Services

Practice address

628 N Morley St
Moberly, MO 65270-2523

Phone

(660) 269-8875

Fax

(660) 269-9621

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Julie L. Dougherty

Title

Executive Director

Phone

(660) 269-8875

Specialties & licenses 1

Addresses

Other names 1

• Randolph County Developmental Disability Services Doing business as

Tax ID family

Randolph County Developmental Disability Resources2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Randolph County Developmental Disability Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Moberly, MO
  • NPI 1982978169
  NPD tax ID

Locations

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1457629040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652700975",
            "telephone_number": "660-269-8875",
            "fax_number": "660-269-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702523",
            "telephone_number": "660-269-8875",
            "fax_number": "660-269-9621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Coates",
            "address_2": "Top Floor",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652701521",
            "country_code": "US",
            "telephone_number": "660-888-0378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANDOLPH COUNTY DEVELOPMENTAL DISABILITY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-269-8875"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph County Developmental Disability Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Randolph County Developmental Disability Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• R.L. Bautista, Inc.
• Jon P Rampton, DO
• Courtney Ramsey, NP
• Randolph County Ambulance District
• Randolph County Caring Community, Inc (Randolph County Caring Community Partnership)
• Randolph County Developmental Disability Services
• Randolph County Health Department
• Randolph County Health Department
• Randolph County Health Department
• Randolph County Health Department

• Case Management Agency in Moberly, MO
• Providers in Moberly, MO by specialty
• Case Management Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.