Melissa Sauder
Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Madrid, NE
NPI 1679382154 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1679382154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Practice address
- 76215 Road 336
Madrid, NE 69150-4102 - Phone
- (308) 326-4495
- NPI assigned
- Dec 30, 2024
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H12741346 | NE | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | H12741346 | NE | |
| Personal Care Attendant | 3747P1801X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
76215 Road 336
Madrid, NE 69150-4102
Mailing address
6 Westview Dr
Grant, NE 69140-3112
Phone (308) 289-1378
Other providers in Madrid, NE
All providers in Madrid, NE · Developmentally Disabled Services Day Training Agency in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.