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SOUTH CENTRAL DEVELOPMENTAL SERVICES NPI 1841832870


NPI Information

NPI: 1841832870
Provider Name: SOUTH CENTRAL DEVELOPMENTAL SERVICES
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 28D2268062

Address:
821 J ST
COZAD, NE
ZIP 69130
Phone: (308) 784-4222
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SOUTH CENTRAL DEVELOPMENTAL SERVICES is a day training developmentally disabled services in Cozad, NE. The provider is these 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. SOUTH CENTRAL DEVELOPMENTAL SERVICES NPI is 1841832870. The provider is registered as an organization entity type.

The provider's business location address is:

821 J ST
COZAD, NE
ZIP 69130-708
Phone: (308) 784-4222
Fax: (308) 784-4231

The provider's authorized official is Kylie Joyce .
The authorized official title is Agency Administrator and has the following contact phone number (308) 784-4222.

The CLIA number assigned to this NPI record is 28D2268062 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2019 and was last updated on 11/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
140797497MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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