NPIMap

Organization Active NPI

Multi Community Diversified Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • McPherson, KS
National Provider Identifier
1811964885
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MULTI COMMUNITY DIVERSIFIED SERVICES, INC.
Practice address
2107 Industrial Dr
McPherson, KS 67460-8128
Phone
(620) 241-6693
Fax
(620) 241-6699
NPI assigned
Mar 8, 2006
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Mr. Doug Wisby
Title
Ceo
Phone
(620) 241-6693

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Home Health Agency 251E00000X
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

2107 Industrial Dr
McPherson, KS 67460-8128

Mailing address

2107 Industrial Dr
McPherson, KS 67460-8128
Phone (620) 241-6693

Other identifiers 1

IdentifierTypeStateIssuer
100044250BMedicaidKS

National Provider Directory

National Provider Directory
Tax ID family
Sandra Hopp-Edwards RPT7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1811964885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 INDUSTRIAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674608128",
            "telephone_number": "620-241-6693",
            "fax_number": "620-241-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 INDUSTRIAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674608128",
            "telephone_number": "620-241-6693",
            "fax_number": "620-241-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI COMMUNITY DIVERSIFIED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "WISBY",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-241-6693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100044250B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.