Adair County SB40 Developmental Disability Board

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

ADAIR COUNTY SB40 DEVELOPMENTAL DISABILITY BOARD

Practice address

215 E McPherson St
Kirksville, MO 63501-3566

Phone

(660) 665-9400

Fax

(660) 665-9404

NPI assigned

Feb 15, 2011

Last updated

Feb 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Pennington

Title

Asst Director

Phone

(660) 665-9400

Specialties & licenses 2

Addresses

Tax ID family

Adair County SB40 Developmental Disability Board2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Adair County SB40 Developmental Disability Board

  • Case Management Agency
  • Kirksville, MO
  • NPI 1427379593
  NPD tax ID

Locations

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1750688545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MCPHERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013566",
            "telephone_number": "660-665-9400",
            "fax_number": "660-665-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MCPHERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013566",
            "telephone_number": "660-665-9400",
            "fax_number": "660-665-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY SB40 DEVELOPMENTAL DISABILITY BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASST DIRECTOR",
        "authorized_official_telephone_number": "660-665-9400"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adair County Health Dept
• Adair County Health Dept (Adair County Health Department/Home Health Agency)
• Adair County Nursing Home District (Twin Pines Adult Care Center)
• Adair County SB40 Developmental Disability Board
• Adair County SB40 Developmental Disability Board
• Adair Emergency Group LLC
• Benjamin Edward Adams, D.O.
• James Hughes Adams, D.O.
• Advance Hannibal Regional Hospital, LLC
• Advance Phycial Therapy & Sports Med (Advances in Therapy)

• Supports Brokerage Agency in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Supports Brokerage Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.