NPIMap

Organization Active NPI

Abc Children'S Academy - Clarksville Site 3

  • Developmentally Disabled Services Day Training Agency
  • Clarksville, AR
National Provider Identifier
1801447990
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ABC CHILDREN'S ACADEMY - CLARKSVILLE SITE 3
Practice address
105 Cherokee LN
Clarksville, AR 72830-8014
Phone
(479) 968-1198
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Dana Warren
Title
Owner
Phone
(479) 477-0385

Specialties & licenses 1

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

Addresses

Primary practice location

105 Cherokee LN
Clarksville, AR 72830-8014

Mailing address

500 E 3Rd St
Russellville, AR 72801-5204
Phone (479) 968-1198

National Provider Directory

National Provider Directory
Tax ID family
Abc Children'S Academy - Clarksville Site 312 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

105 Cherokee Ln
Clarksville, AR 72830
Phone (479) 968-1198

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1801447990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 3RD ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015204",
            "telephone_number": "479-968-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHEROKEE LN",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728308014",
            "telephone_number": "479-968-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC CHILDREN'S ACADEMY - CLARKSVILLE SITE 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-477-0385"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.