NPIMap

Organization Active NPI

My Camp Inc

  • Developmentally Disabled Services Day Training Agency
  • Uniontown, MO
National Provider Identifier
1982723326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1366-8688 Issued in MO
Legal business name
MY CAMP INC
Practice address
1622 Highway a
Uniontown, MO 63783-9115
Phone
(573) 788-2345
Fax
(573) 788-2498
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Robin A Habeck
Title
Administrator QMRP
Phone
(573) 788-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1366-8688 MO Primary

Addresses

Primary practice location

1622 Highway a
Uniontown, MO 63783-9115

Mailing address

1622 Highway a
Uniontown, MO 63783-9115
Phone (573) 788-2345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982723326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 HIGHWAY A",
            "city": "UNIONTOWN",
            "state": "MO",
            "postal_code": "637839115",
            "telephone_number": "573-788-2345",
            "fax_number": "573-788-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 HIGHWAY A",
            "city": "UNIONTOWN",
            "state": "MO",
            "postal_code": "637839115",
            "telephone_number": "573-788-2345",
            "fax_number": "573-788-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CAMP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABECK",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR QMRP",
        "authorized_official_telephone_number": "573-788-2345",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "1366-8688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.