TRI-VALLEY DEVELOPMENTAL SERVICES INC. NPI 1114072709

NPI Information

NPI: 1114072709
Provider Name: TRI-VALLEY DEVELOPMENTAL SERVICES, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address: 3740 S SANTA FE AVE
CHANUTE, KS
ZIP 66720
Phone: (620) 431-7401

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NPI Details

TRI-VALLEY DEVELOPMENTAL SERVICES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Chanute, KS. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. TRI-VALLEY DEVELOPMENTAL SERVICES, INC. NPI is 1114072709. The provider is registered as an organization entity type.

The provider's business location address is:

3740 S SANTA FE AVE
CHANUTE, KS
ZIP 66720-247
Phone: (620) 431-7401
Fax: (620) 431-1409

The provider's authorized official is Michelle Reddick .
The authorized official title is Finance Director and has the following contact phone number (620) 431-7401.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 6/17/2015.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services	No
2	253Z00000X	In Home Supportive Care	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

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
1	100041040A	MEDICAID	KANSAS

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: 11/21/2025

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