RANDOLPH COUNTY DEVELOPMENTAL DISABILITY SERVICES
NPI 1982978169
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Moberly, MO

Q: What is Randolph County Developmental Disability Services's specialty?

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

Active since March 06, 2012

101 W COATES ST, MOBERLY, MO 65270(660) 269-8875(660) 269-9621 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Randolph County Developmental Disability Services NPPES

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

RANDOLPH COUNTY DEVELOPMENTAL DISABILITY SERVICES (NPI 1982978169) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Moberly, Missouri and active in the NPI registry since March 2012. The organization lists Mindy Beth Breid, Director Of Administration, as its authorized official.

NPPES Registry Identity

NPI1982978169

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameRANDOLPH COUNTY DEVELOPMENTAL DISABILITY SERVICES

Location Address101 W COATES STMoberly, MO 65270-1521

Mailing AddressPo Box 1008Moberly, MO 65270-0975 · (660) 269-8875 · Fax (660) 269-9621

Phone(660) 269-8875

Fax(660) 269-9621

Organization SubpartNo

Authorized OfficialMindy Beth BreidDirector Of Administration · (660) 269-8875

Enumeration DateMarch 6, 2012

Last NPPES UpdateSeptember 4, 2012

✔ NPI 1982978169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

101 W COATES ST, Moberly, MO 65270

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Other Identifiers 1

Medicaid159041201MO

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FINESS COPELAND

Registered Nurse

101 W COATES ST
MOBERLY, MO 65270

Randolph County (660) 263-7173

RANDOLPH COUNTY CARING COMMUNITY, INC

Social Worker

101 W COATES ST
MOBERLY, MO 65270

Randolph County (660) 676-4674

TIFFANY R LOPEZ CPS

Peer Specialist

101 W COATES ST
MOBERLY, MO 65270

Randolph County (660) 263-7173

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 Randolph County Developmental Disability Services's NPI number?

The NPI number for Randolph County Developmental Disability Services is 1982978169. It was assigned to this organization in the NPPES registry on March 6, 2012.

Where is Randolph County Developmental Disability Services located?

Randolph County Developmental Disability Services is located at 101 W Coates St, Moberly, MO 65270. The listed phone number is (660) 269-8875.

What is Randolph County Developmental Disability Services's specialty?

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

When was this NPI record last updated?

The NPPES record for Randolph County Developmental Disability Services was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.