Neighboehood Community Outreach

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

145712778 Issued in AR

Legal business name

NEIGHBOEHOOD COMMUNITY OUTREACH

Practice address

412 Beene
Magnolia, AR 71753-3414

Phone

(870) 234-1530

Fax

(870) 234-7508

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Wanda R. Jackson

Title

Director

Phone

(870) 234-1530

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1972716330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2181",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717547181",
            "telephone_number": "870-234-1530",
            "fax_number": "870-234-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 BEENE",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533414",
            "telephone_number": "870-234-1530",
            "fax_number": "870-234-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBOEHOOD COMMUNITY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-234-1530",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": "145712778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145712778",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION",
            "identifier": "132660786",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Y Murphy, MD
• Kevin Murphy, MHPP
• Gladys Alfaro Mustafa, RPT
• Erica Neal
• Tyler Alan Neal, MD
• Laura Neill, RN
• Amanda Dee Warren Newton, DT
• Mollie Newton, M.S., CCC-SLP
• No Worry Home Care ,LLC
• Trena Noble

• Developmentally Disabled Services Day Training Agency in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Developmentally Disabled Services Day Training Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.