Organization Active NPI

Carroll County Learning Center

  • Developmentally Disabled Services Day Training Agency
  • Berryville, AR
National Provider Identifier
1669690830
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0021891 Issued in AR
Legal business name
CARROLL COUNTY LEARNING CENTER
Practice address
705 W College Ave
Berryville, AR 72616-3105
Phone
(870) 423-3000
Fax
(870) 423-6646
NPI assigned
Apr 23, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Ms. Amy Parton
Title
Billing Clerk
Phone
(870) 423-6648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0021891 AR Primary

Addresses

Primary practice location

705 W College Ave
Berryville, AR 72616-3105

Mailing address

PO Box 107
Berryville, AR 72616-0107
Phone (870) 423-3000

Other identifiers 5

IdentifierTypeStateIssuer
118564715MedicaidAR
132665786MedicaidAR
132293774MedicaidAR
101390724MedicaidAR
125879767MedicaidAR

National Provider Directory

National Provider Directory

Locations

705 W College Ave
Berryville, AR 72616
Phone (870) 423-3000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1669690830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726160107",
            "telephone_number": "870-423-3000",
            "fax_number": "870-423-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W COLLEGE AVE",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163105",
            "telephone_number": "870-423-3000",
            "fax_number": "870-423-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL COUNTY LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "PARTON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "870-423-6648",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": "0021891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118564715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132665786",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132293774",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101390724",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125879767",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.