Ferndale, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

17899078 Issued in MO

Legal business name

FERNDALE, INC.

Practice address

15650 County Road 2430
Saint James, MO 65559-8210

Phone

(573) 265-3344

Fax

(573) 265-1119

NPI assigned

Jan 8, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janet L. Douglas

Title

Administrator

Phone

(573) 265-3344

Specialties & licenses 1

Addresses

Tax ID family

Ferndale Inc2 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.

• Ferndale Inc

  • Developmentally Disabled Services Day Training Agency
  • Saint James, MO
  • NPI 1235250440
  NPD tax ID

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1649328204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 COUNTY ROAD 2430",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655598210",
            "telephone_number": "573-265-3344",
            "fax_number": "573-265-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 COUNTY ROAD 2430",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655598210",
            "telephone_number": "573-265-3344",
            "fax_number": "573-265-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNDALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-265-3344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "17899078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Downey-Jones, PLPC
• Christine G Durbin, FNP
• Kathy Lynn Eller
• Shauna Evans
• Ferndale Inc
• Forest City Family Practice LLC
• Forest City Family Practice LLC
• Franklin C Gica, P.T.
• Rachelle L Gorrell, D.O.
• Kara C Goss, LCSW

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Saint James, MO
• Providers in Saint James, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.