Organization Active NPI

Skills Development Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Tullahoma, TN
National Provider Identifier
1992842983
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
L000000007437 Issued in TN
Legal business name
SKILLS DEVELOPMENT SERVICES, INC.
Practice address
704 S Washington St
Tullahoma, TN 37388-4535
Phone
(931) 455-5107
Fax
(931) 455-3372
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Mr. Thomas M. Norman
Title
Executive Director
Phone
(931) 455-5107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X L000000007437 TN Primary

Addresses

Primary practice location

704 S Washington St
Tullahoma, TN 37388-4535

Mailing address

704 S Washington St
Tullahoma, TN 37388-4535
Phone (931) 455-5107

National Provider Directory

National Provider Directory

Locations

704 S Washington St
Tullahoma, TN 37388
Phone (931) 393-3840

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1992842983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S WASHINGTON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884535",
            "telephone_number": "931-455-5107",
            "fax_number": "931-455-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S WASHINGTON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884535",
            "telephone_number": "931-455-5107",
            "fax_number": "931-455-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS DEVELOPMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-455-5107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L000000007437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.