NPIMap

Organization Active NPI

Abc Children's Academy & Developmental Center-RSVL Infant & Toddler

  • Developmentally Disabled Services Day Training Agency
  • Russellville, AR
National Provider Identifier
1588068936
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
24034 Issued in AR
Legal business name
ABC CHILDREN'S ACADEMY & DEVELOPMENTAL CENTER-RSVL INFANT & TODDLER
Practice address
306 E 11TH St
Russellville, AR 72801-6156
Phone
(479) 968-0519
NPI assigned
Oct 14, 2014
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Dana Warren, MS, PTNPI 1942378435
Title
Owner
Phone
(479) 477-0385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 24034 AR Primary

Addresses

Primary practice location

306 E 11TH St
Russellville, AR 72801-6156

Mailing address

500 E 3Rd St
Russellville, AR 72801-5204
Phone (479) 968-5048

National Provider Directory

National Provider Directory
Tax ID family
Abc Children's Academy Developmental Center Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1588068936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 3RD ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015204",
            "telephone_number": "479-968-5048",
            "fax_number": "479-968-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 11TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016156",
            "telephone_number": "479-968-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC CHILDREN'S ACADEMY & DEVELOPMENTAL CENTER-RSVL INFANT & TODDLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-477-0385",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": "24034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.