Randolph County Developmental Disability Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

RANDOLPH COUNTY DEVELOPMENTAL DISABILITY SERVICES

Practice address

101 W Coates St
Moberly, MO 65270-1521

Phone

(660) 269-8875

Fax

(660) 269-9621

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Mindy Beth Breid

Title

Director of Administration

Phone

(660) 269-8875

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Randolph County Developmental Disability Resources2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Randolph County Developmental Disability Resources

  • Case Management Agency
  • Moberly, MO
  • NPI 1457629040
  NPD tax ID

Locations

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1982978169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652700975",
            "telephone_number": "660-269-8875",
            "fax_number": "660-269-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W COATES ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701521",
            "telephone_number": "660-269-8875",
            "fax_number": "660-269-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH COUNTY DEVELOPMENTAL DISABILITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "BREID",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "660-269-8875",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159041201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon P Rampton, DO
• Courtney Ramsey, NP
• Randolph County Ambulance District
• Randolph County Caring Community, Inc
• Randolph County Developmental Disability Resources
• Randolph County Health Department
• Randolph County Health Department
• Randolph County Health Department
• Randolph County Health Department
• Randolph County Health Department

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Moberly, MO
• Providers in Moberly, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.