Laclede Association for Developmental Disabilities

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

852755701 Issued in MO

Legal business name

LACLEDE ASSOCIATION FOR DEVELOPMENTAL DISABILITIES

Practice address

200 Lawson Avenue
Lebanon, MO 65536

Phone

(417) 588-1577

Fax

(417) 588-3519

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Katy Clanton

Title

Executive Director

Phone

(417) 588-1577

Specialties & licenses 1

Addresses

Other names 1

• Laclede Developmental Training Center Doing business as

Tax ID family

Laclede Association for Developmental Disabilities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Laclede Association for Developmental Disabilities

  • Respite Care
  • Lebanon, MO
  • NPI 1538363486
  NPD tax ID

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1639201080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAWSON AVENUE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "65536",
            "telephone_number": "417-588-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAWSON AVENUE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "65536",
            "telephone_number": "417-588-1577",
            "fax_number": "417-588-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACLEDE ASSOCIATION FOR DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-05-26",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "CLANTON",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-588-1577"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "852755701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laclede Developmental Training Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• KRN-DNS Inc.
• Sara L Kruse, CRNA
• Mary A Kurek, DO
• L. a. Bealer Inc
• Laclede Association for Developmental Disabilities
• Laclede County C-5
• Laclede County Health Department
• Laclede Early Education Program
• Lake Regional Health System
• Lake Regional Health System

• Developmentally Disabled Services Day Training Agency in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Developmentally Disabled Services Day Training Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.