NPIMap

Organization Active NPI

County of Grant

Doing business as Directions in Community Living

  • Developmentally Disabled Services Day Training Agency
  • Moses Lake, WA
National Provider Identifier
1881946457
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COUNTY OF GRANT
Doing business as
Directions in Community Living
Practice address
1103 Lowry St
Moses Lake, WA 98837-3164
Phone
(509) 762-1161
Fax
(509) 762-6922
NPI assigned
Oct 8, 2012
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Gail Goodwin, BA
Title
Program Director
Phone
(509) 765-9239

Specialties & licenses 1

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

Addresses

Primary practice location

1103 Lowry St
Moses Lake, WA 98837-3164

Mailing address

1103 Lowry St
Moses Lake, WA 98837-3164
Phone (509) 762-1161

Other identifiers 1

IdentifierTypeStateIssuer
200012501MedicaidWA

Other names 1

  • DIRECTIONS IN COMMUNITY LIVING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grant County Fire Dist6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1103 Lowry St
Moses Lake, WA 98837
Phone (509) 762-1161

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1881946457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 LOWRY ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373164",
            "telephone_number": "509-762-1161",
            "fax_number": "509-762-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 LOWRY ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373164",
            "telephone_number": "509-762-1161",
            "fax_number": "509-762-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "509-765-9239",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200012501",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIRECTIONS IN COMMUNITY LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.