Organization Active NPI

Smalltown Opportunities Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hazard, KY
National Provider Identifier
1649049081
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SMALLTOWN OPPORTUNITIES INC
Practice address
1087 Upper Second Creek Rd
Hazard, KY 41701-9527
Phone
(606) 216-4940
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Rose Marie Shields, BS
Title
Executive Director
Phone
(606) 216-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1087 Upper Second Creek Rd
Hazard, KY 41701-9527

Mailing address

1087 Upper Second Creek Rd
Hazard, KY 41701-9527
Phone (606) 216-4940

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1649049081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 UPPER SECOND CREEK RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019527",
            "telephone_number": "606-216-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 UPPER SECOND CREEK RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019527",
            "telephone_number": "606-216-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALLTOWN OPPORTUNITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "606-216-4940",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.