Active NPI
Debra Caleb
- Developmentally Disabled Services Day Training Agency
- Tecumseh, KS
National Provider Identifier
1508290198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 3747P1801X
- Practice address
- 2323 SE Cuvier St
Tecumseh, KS 66542-9442 - Phone
- (785) 224-4943
- NPI assigned
- Aug 30, 2013
- Last updated
- Aug 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 3747P1801X | KS | Primary |
Addresses
Primary practice location
2323 SE Cuvier St
Tecumseh, KS 66542-9442
Mailing address
2323 SE Cuvier St
Tecumseh, KS 66542-9442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200546330A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3747P1801X | KS | MD | Developmentally Disabled Services Day Training Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caleb Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Tecumseh, KS
- NPI 1447675426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1508290198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 SE CUVIER ST",
"city": "TECUMSEH",
"state": "KS",
"postal_code": "665429442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 SE CUVIER ST",
"city": "TECUMSEH",
"state": "KS",
"postal_code": "665429442",
"telephone_number": "785-224-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALEB",
"first_name": "DEBRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "KS",
"license": "3747P1801X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200546330A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tecumseh, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.