Active NPI
Livingston County Development Center
- Developmentally Disabled Services Day Training Agency
- Chillicothe, MO
National Provider Identifier
1487708459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 1631-8495
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.