Idd Ark, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

IDD ARK, INC.

Doing business as

Work With Purpose

Practice address

1805 W Worley St
Columbia, MO 65203-1037

Phone

(573) 207-2070

Fax

(573) 375-8467

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Brittani Gardner-Evans

Title

Executive Director

Phone

(573) 975-3602

Specialties & licenses 4

Addresses

Other names 1

• Work With Purpose Doing business as

Locations

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1649057241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633850597",
            "telephone_number": "573-975-3602",
            "fax_number": "573-375-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W WORLEY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031037",
            "telephone_number": "573-207-2070",
            "fax_number": "573-375-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDD ARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "GARDNER-EVANS",
        "authorized_official_first_name": "BRITTANI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-975-3602"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Work With Purpose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ugonna Uloma Ibeawuchi, MD
• Erica Lynne Ibendahl, M.D.
• Chidalu N. Ibeneme, MD
• Eiman Yehia Ibrahim, MD
• Ezzeldien Ahmed Ibrahim, MD
• Kathryn Joan Ideker, AU.D.
• Iroabuchi Augustine Idika, MD
• Olakanmi Igbekele, M.D
• Amanda Ignot
• Ihc of Mid Missouri, LLC

• Developmentally Disabled Services Day Training Agency in Columbia, MO
• Providers in Columbia, 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 Sep 8, 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.