MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED NPI 1043344229

Day Training, Developmentally Disabled Services in Fredericktown, MO

NPI 1043344229 Organization Day Training, Developmentally Disabled S...

About MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED

Madison County Council For Developmentally Disabled is a provider established in Fredericktown, Missouri specializing in day training, developmentally disabled services. The NPI number of Madison County Council For Developmentally Disabled is 1043344229 and was assigned on March 2007. The practitioner's primary taxonomy code is 251C00000X with license number 1603-9524 (MO). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Katherine Lawler (Executive Director)

NPI

1043344229

Provider NameMADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED
Provider Location Address610 S CHAMBER DR FREDERICKTOWN, MO 63645
Provider Mailing Address610 S CHAMBER DR FREDERICKTOWN, MO 63645
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-16-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code251C00000X
ClassificationDay Training, Developmentally Disabled Services
TypeAgencies
License No.1603-9524
License StateMO
Taxonomy DescriptionThese agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Business Address

MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED
610 S CHAMBER DR
FREDERICKTOWN, MO
ZIP 63645
Phone: (573) 783-3770
Fax: (573) 783-5051

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Mailing Address

MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED
610 S CHAMBER DR
FREDERICKTOWN, MO
ZIP 63645
Phone: (573) 783-3770
Fax: (573) 783-5051



Authorized Official

Authorized Official Name KATHERINE LAWLER
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(573) 783-3770

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023292802MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED, INC.
Organization
Case Management610 S CHAMBER DR
FREDERICKTOWN, MO 63645
(573) 783-3770
1912227885MADISON COUNTY ADULT LEARNING CENTER
Organization
Day Training, Developmentally Disabled Services610 S CHAMBER DR
FREDERICKTOWN, MO 63645
(573) 783-3770

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.