NPIMap

Organization Active NPI

South Central Developmental Services

  • Developmentally Disabled Services Day Training Agency
  • Cozad, NE
National Provider Identifier
1841832870
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SOUTH CENTRAL DEVELOPMENTAL SERVICES
Practice address
821 J St
Cozad, NE 69130-1708
Phone
(308) 784-4222
Fax
(308) 784-4231
NPI assigned
Oct 10, 2019
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Laurie PreitauerNPI 1992699516
Title
Agency Administrator
Phone
(308) 784-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

821 J St
Cozad, NE 69130-1708

Mailing address

PO Box 367
Cozad, NE 69130-0367
Phone (308) 784-4222

Other identifiers 1

IdentifierTypeStateIssuer
40797497MedicaidNE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2268062South Central Developmental Services821 J Street, Cozad, NE 69130Certificate of waiverSep 5, 2026

National Provider Directory

National Provider Directory

Locations

821 J St
Cozad, NE 69130
Phone (308) 784-4222

Practitioners & affiliated clinicians

Practitioners 144

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 144

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1841832870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691300367",
            "telephone_number": "308-784-4222",
            "fax_number": "308-784-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 J ST",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301708",
            "telephone_number": "308-784-4222",
            "fax_number": "308-784-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "PREITAUER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "308-784-4222"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40797497",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cozad, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.