Organization Active NPI

Community Alternatives Missouri, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Hannibal, MO
National Provider Identifier
1982767943
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMUNITY ALTERNATIVES MISSOURI, INC.
Practice address
9134 County Road 422 Ste 300
Hannibal, MO 63401-6819
Phone
(314) 965-1307
Fax
(314) 965-1352
NPI assigned
Dec 19, 2006
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Mary A Pank
Title
Paralegal
Phone
(502) 394-2100

Specialties & licenses 1

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

Addresses

Primary practice location

9134 County Road 422 Ste 300
Hannibal, MO 63401-6819

Mailing address

9901 Linn Station Rd
Louisville, KY 40223-3808

Other identifiers 1

IdentifierTypeStateIssuer
852552207MedicaidMO

Other names 1

  • Skyview Estates Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Alternatives Missouri Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1982767943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9134 COUNTY ROAD 422 STE 300",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016819",
            "telephone_number": "314-965-1307",
            "fax_number": "314-965-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ALTERNATIVES MISSOURI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "PANK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852552207",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyview Estates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Skyview Estates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.