Jy Adekale Global Initiative

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

JY ADEKALE GLOBAL INITIATIVE

Doing business as

Developmental Resource Center

Practice address

4913 Ridge Rd
Cheyenne, WY 82009-5309

Phone

(307) 514-0921

NPI assigned

Jul 3, 2009

Organization subpart

No

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

Authorized official

Name

Adebowale O. Adekale

Title

Administrator

Phone

(307) 514-0921

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Developmental Resource Center Doing business as

Locations

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246579200000",
    "number": "1669601217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 RIDGE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095309",
            "telephone_number": "307-514-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 RIDGE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095309",
            "telephone_number": "307-514-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JY ADEKALE GLOBAL INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-03",
        "last_updated": "2009-07-03",
        "status": "A",
        "authorized_official_last_name": "ADEKALE",
        "authorized_official_first_name": "ADEBOWALE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-514-0921"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127297700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developmental Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Joseph Judge, MA
• Thomas Joseph Jurek, APN
• Timothy Peter Jurkowski, MA, LPC
• Bonnie Just, PMHNP
• Juvenile Extensive Management Services
• Nathaniel A Kaan, M.D.
• Kenna Lynn Kacillas, OTR/L
• Kahak Wy Inc
• Joy L. Kahler, RN
• James Kahre, MD

• Child Intellectual and/or Developmental Disabilities Respite Care in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; 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.