Organization Active NPI

Livingston County Development Center

  • Developmentally Disabled Services Day Training Agency
  • Chillicothe, MO
National Provider Identifier
1487708459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1631-8495 Issued in MO
Legal business name
LIVINGSTON COUNTY DEVELOPMENT CENTER
Practice address
920 Clinefelter St
Chillicothe, MO 64601-2348
Phone
(660) 646-4377
Fax
(660) 646-3771
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Kimberly Diane Williams, QMRP
Title
Director
Phone
(660) 646-4374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1631-8495 MO Primary

Addresses

Primary practice location

920 Clinefelter St
Chillicothe, MO 64601-2348

Mailing address

920 Clinefelter St
P.O.Box 161
Chillicothe, MO 64601-2348
Phone (660) 646-4377

National Provider Directory

National Provider Directory

Locations

920 Clinefelter St
Chillicothe, MO 64601
Phone (660) 646-1513

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487708459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CLINEFELTER ST",
            "address_2": "P.O.BOX 161",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012348",
            "telephone_number": "660-646-4377",
            "fax_number": "660-646-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CLINEFELTER ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012348",
            "telephone_number": "660-646-4377",
            "fax_number": "660-646-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON COUNTY DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "660-646-4374",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "QMRP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "1631-8495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, MO

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.

Verify at the official NPI Registry.