NPIMap

Organization Active NPI

Callaway County Special Services

Doing business as Adult Enrichment Center

  • Developmentally Disabled Services Day Training Agency
  • Fulton, MO
National Provider Identifier
1801928775
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CALLAWAY COUNTY SPECIAL SERVICES
Doing business as
Adult Enrichment Center
Practice address
501 Truman Rd
Fulton, MO 65251-1266
Phone
(573) 592-0136
NPI assigned
Mar 9, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CALLAWAY COUNTY SPECIAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Charles Snow
Title
Executive Director
Phone
(573) 642-1792

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

501 Truman Rd
Fulton, MO 65251-1266

Mailing address

911 S Business 54
Fulton, MO 65251-1406
Phone (573) 592-0136

Other names 1

  • Adult Enrichment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Callaway County Special Services3 organizations share this tax ID, including this one
Part of
Callaway County Special Services

Other organizations with this tax ID 2

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

Locations

501 Truman Rd
Fulton, MO 65251
Phone (573) 592-0136

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1801928775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S BUSINESS 54",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511406",
            "telephone_number": "573-592-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 TRUMAN RD",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511266",
            "telephone_number": "573-592-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY COUNTY SPECIAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALLAWAY COUNTY SPECIAL SERVICES",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-642-1792",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Enrichment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.