Active NPI
Perry County Day Service Center, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Perryville, AR
National Provider Identifier
1467672162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- PERRY COUNTY DAY SERVICE CENTER, INC.
- Practice address
- 115 South Pine Street
Perryville, AR 72126 - Phone
- (501) 889-5755
- Fax
- (501) 889-5688
- NPI assigned
- Apr 26, 2007
- 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
- Ms. Christy Campbell
- Title
- Executive Director
- Phone
- (501) 889-5755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | AR | Primary |
Addresses
Primary practice location
115 South Pine Street
Perryville, AR 72126
Mailing address
PO Box 672
Perryville, AR 72126-0672
Phone (501) 889-5755
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467672162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 672",
"city": "PERRYVILLE",
"state": "AR",
"postal_code": "721260672",
"telephone_number": "501-889-5755",
"fax_number": "501-889-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SOUTH PINE STREET",
"city": "PERRYVILLE",
"state": "AR",
"postal_code": "72126",
"telephone_number": "501-889-5755",
"fax_number": "501-889-5688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY COUNTY DAY SERVICE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "501-889-5755",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perryville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.