Active NPI
Carroll County Learning Center
- Developmentally Disabled Services Day Training Agency
- Berryville, AR
National Provider Identifier
1669690830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 0021891
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118564715 | Medicaid | AR | |
| 132665786 | Medicaid | AR | |
| 132293774 | Medicaid | AR | |
| 101390724 | Medicaid | AR | |
| 125879767 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Occupational Therapist
- Berryville, AR
- NPI 1922159623
-
- Physical Therapy Assistant
- Berryville, AR
- NPI 1659706554
-
- Occupational Therapy Assistant
- Berryville, AR
- NPI 1619415569
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.