Active NPI
Developmental Milestones Adult Day Center
- Developmental Disabilities Clinic/Center
- West Memphis, AR
National Provider Identifier
1962029694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- DEVELOPMENTAL MILESTONES ADULT DAY CENTER
- Practice address
- 700 N Missouri St
West Memphis, AR 72301-3150 - Phone
- (870) 400-8923
- NPI assigned
- Jun 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittnay Rena Williams
- Title
- Owner
- Phone
- (901) 406-1115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
700 N Missouri St
West Memphis, AR 72301-3150
Mailing address
700 N Missouri St
West Memphis, AR 72301-3150
Phone (870) 400-8937
National Provider Directory
National Provider DirectoryLocations
700 N Missouri St
West Memphis, AR 72301
Phone (870) 733-0560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614816000000",
"number": "1962029694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N MISSOURI ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013150",
"telephone_number": "870-400-8937",
"fax_number": "870-733-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N MISSOURI ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013150",
"telephone_number": "870-400-8923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPMENTAL MILESTONES ADULT DAY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-29",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BRITTNAY",
"authorized_official_middle_name": "RENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-406-1115"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.