NPIMap

Organization Active NPI

Developmental Services of Jefferson County, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Arnold, MO
National Provider Identifier
1992922660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DEVELOPMENTAL SERVICES OF JEFFERSON COUNTY, INC.
Practice address
3254 Richardson Place Rd
Apt 5
Arnold, MO 63010-3985
Phone
(636) 282-4400
Fax
(636) 282-4410
NPI assigned
Apr 20, 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
Mr. David W. Weiler
Title
Comptroller
Phone
(636) 282-4406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

3254 Richardson Place Rd
Apt 5
Arnold, MO 63010-3985

Mailing address

PO Box 97
Mapaville, MO 63065-0097
Phone (636) 282-4400

Other names 1

  • DSJC-RPA Other name

National Provider Directory

National Provider Directory
Tax ID family
Developmental Services of Jefferson County Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992922660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "MAPAVILLE",
            "state": "MO",
            "postal_code": "630650097",
            "telephone_number": "636-282-4400",
            "fax_number": "636-282-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 RICHARDSON PLACE RD",
            "address_2": "APT 5",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103985",
            "telephone_number": "636-282-4400",
            "fax_number": "636-282-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL SERVICES OF JEFFERSON COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEILER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "636-282-4406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSJC-RPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arnold, MO

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.