NPIMap

Organization Active NPI

Randolph County Supported Training Center, Inc

  • Developmentally Disabled Services Day Training Agency
  • Moberly, MO
National Provider Identifier
1912272147
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
N01198498 Issued in MO
Legal business name
RANDOLPH COUNTY SUPPORTED TRAINING CENTER, INC
Practice address
100 Sparks Ave Ste B
Moberly, MO 65270-2842
Phone
(660) 263-6202
Fax
(660) 263-0773
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mr. Greg Kohls
Title
Director
Phone
(660) 269-8875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X N01198498 MO Primary

Addresses

Primary practice location

100 Sparks Ave Ste B
Moberly, MO 65270-2842

Mailing address

100 Sparks Ave Ste B
Moberly, MO 65270-2842
Phone (660) 263-6202

National Provider Directory

National Provider Directory

Locations

100 Sparks Ave
#B
Moberly, MO 65270
Phone (660) 263-6202

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1912272147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPARKS AVE STE B",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702842",
            "telephone_number": "660-263-6202",
            "fax_number": "660-263-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPARKS AVE STE B",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702842",
            "telephone_number": "660-263-6202",
            "fax_number": "660-263-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH COUNTY SUPPORTED TRAINING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "KOHLS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "660-269-8875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "N01198498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.