SKILLS UNLIMITED WALNUT
NPI 1205951217
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Nevada, MO

Active since March 20, 2007CLIA 26D2205936 · Waiver
1428 W WALNUT ST, NEVADA, MO 64772(417) 667-6021 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Skills Unlimited Walnut NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKILLS UNLIMITED WALNUT (NPI 1205951217) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Nevada, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Doug Nickelson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205951217
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSKILLS UNLIMITED, INC
Location Address1428 W WALNUT STNevada, MO 64772-1966
Mailing Address114 W Hunter StNevada, MO 64772-2327 · (417) 667-6021
Organization SubpartNo
Authorized OfficialDoug NickelsonExecutive Director · (417) 667-6021
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205951217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License✔ Licensed in MO · 1970-9161
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1428 W WALNUT ST, Nevada, MO 64772

Other Names 1

Other NameSkills Unlimited Walnut

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2205936

Skills Unlimited, Inc · Nevada, MO
Active · expires Dec 15, 2026
CLIA Number26D2205936
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorBethany K. Fast
Laboratory Phone(417) 667-6021
Laboratory LocationSkills Unlimited, Inc114 W Hunter, Nevada, MO 64772
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skills Unlimited, Inc's NPI number?

The NPI number for Skills Unlimited, Inc is 1205951217. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is also known as Skills Unlimited Walnut.

Where is Skills Unlimited, Inc located?

Skills Unlimited, Inc is located at 1428 W Walnut St, Nevada, MO 64772. The listed phone number is (417) 667-6021.

What is Skills Unlimited, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Skills Unlimited, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2205936) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skills Unlimited, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.