Organization Active NPI

Developmental Discoveries, Inc.

  • In Home Supportive Care Agency
  • Mountain Home, AR
National Provider Identifier
1972734291
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
167255767 Issued in AR
Legal business name
DEVELOPMENTAL DISCOVERIES, INC.
Practice address
1219 Commerce Dr Ste 3
Mountain Home, AR 72653-2604
Phone
(870) 425-1466
Fax
(870) 425-1467
NPI assigned
Aug 4, 2009
Last updated
Aug 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Miss Tammy Lynne Boston
Title
President
Phone
(870) 425-1466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 167255767 AR Primary

Addresses

Primary practice location

1219 Commerce Dr Ste 3
Mountain Home, AR 72653-2604

Mailing address

1219 Commerce Dr Ste 3
Mountain Home, AR 72653-2604
Phone (870) 425-1466

Other identifiers 5

IdentifierTypeStateIssuer
167171775MedicaidAR
167162774MedicaidAS
167163771MedicaidAR
167170715MedicaidAR
167255767MedicaidAR

National Provider Directory

National Provider Directory

Locations

1219 Commerce Dr
Ste 3
Mountain Home, AR 72653
Phone (870) 232-4181

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1972734291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 COMMERCE DR STE 3",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532604",
            "telephone_number": "870-425-1466",
            "fax_number": "870-425-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 COMMERCE DR STE 3",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532604",
            "telephone_number": "870-425-1466",
            "fax_number": "870-425-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DISCOVERIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-425-1466",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AR",
            "license": "167255767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167171775",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167162774",
            "state": "AS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167163771",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167170715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167255767",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.