Organization Active NPI

Developmental Center & Workshop, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Keyser, WV
National Provider Identifier
1689765091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
10 Issued in WV
Legal business name
DEVELOPMENTAL CENTER & WORKSHOP, INC.
Practice address
50 Clary St
Keyser, WV 26726-2441
Phone
(304) 788-3046
Fax
(304) 788-4745
NPI assigned
Sep 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Annette Francis
Title
Executive Director
Phone
(304) 788-3046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 10 WV Primary

Addresses

Primary practice location

50 Clary St
Keyser, WV 26726-2441

Mailing address

50 Clary St
Keyser, WV 26726-2441
Phone (304) 788-3046

Other identifiers 2

IdentifierTypeStateIssuer
0005382000MedicaidWV
0005382001MedicaidWV

National Provider Directory

National Provider Directory

Locations

50 Clary St
Keyser, WV 26726
Phone (304) 788-3046

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689765091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CLARY ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262441",
            "telephone_number": "304-788-3046",
            "fax_number": "304-788-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CLARY ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262441",
            "telephone_number": "304-788-3046",
            "fax_number": "304-788-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL CENTER & WORKSHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-788-3046",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WV",
            "license": "10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005382000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005382001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.