NPIMap

Organization Active NPI

Cole County Residential Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Jefferson City, MO
National Provider Identifier
1679727507
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COLE COUNTY RESIDENTIAL SERVICES, INC
Practice address
601 E High St
Jefferson City, MO 65101-3218
Phone
(573) 634-4555
NPI assigned
Nov 5, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COLE COUNTY RESIDENTIAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Mr. James W Casey
Title
Executive Director
Phone
(573) 634-4555

Specialties & licenses 1

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

Addresses

Primary practice location

601 E High St
Jefferson City, MO 65101-3218

Mailing address

1908 Boggs Creek Rd
Jefferson City, MO 65101-5580
Phone (573) 634-4555

Other names 1

  • Day Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Cole County Residential Services Inc7 organizations share this tax ID, including this one
Part of
Cole County Residential Services Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 E High St
Jefferson City, MO 65101
Phone (573) 634-4555

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1679727507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 BOGGS CREEK RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015580",
            "telephone_number": "573-634-4555",
            "fax_number": "573-634-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HIGH ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013218",
            "telephone_number": "573-634-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE COUNTY RESIDENTIAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLE COUNTY RESIDENTIAL SERVICES, INC.",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-634-4555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Day Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.