NPIMap

Organization Active NPI

Ashley County Skilled Workcenter, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Crossett, AR
National Provider Identifier
1861615429
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ASHLEY COUNTY SKILLED WORKCENTER, INC.
Practice address
208 N Arkansas St
Crossett, AR 71635-2836
Phone
(870) 364-9253
Fax
(870) 364-9243
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Ms. Shannon Rodriguez
Title
Executive Director
Phone
(870) 364-9253

Specialties & licenses 2

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

Addresses

Primary practice location

208 N Arkansas St
Crossett, AR 71635-2836

Mailing address

PO Box 900
Crossett, AR 71635-0900
Phone (870) 364-9253

Other identifiers 1

IdentifierTypeStateIssuer
112575724MedicaidAR

Other names 1

  • Ashley County Sheltered Workshop, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

208 N Arkansas St
Crossett, AR 71635
Phone (870) 364-9253

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1861615429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716350900",
            "telephone_number": "870-364-9253",
            "fax_number": "870-364-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N ARKANSAS ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352836",
            "telephone_number": "870-364-9253",
            "fax_number": "870-364-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY COUNTY SKILLED WORKCENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-364-9253",
        "authorized_official_name_prefix": "Ms."
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112575724",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley County Sheltered Workshop, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.