SPECTRUM DEVELOPMENTAL SERVICES INC NPI 1932534203

NPI Information

NPI: 1932534203
Provider Name: SPECTRUM DEVELOPMENTAL SERVICES INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
328 W 2ND ST APT 5
ANDOVER, KS
ZIP 67002
Phone: (316) 361-0045
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SPECTRUM DEVELOPMENTAL SERVICES INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Andover, 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. SPECTRUM DEVELOPMENTAL SERVICES INC NPI is 1932534203. The provider is registered as an organization entity type.

The provider's business location address is:

328 W 2ND ST APT 5
ANDOVER, KS
ZIP 67002-775
Phone: (316) 361-0045

The provider's authorized official is Paul Dennis Shoemaker .
The authorized official title is President and has the following contact phone number (316) 207-8377.

The enumeration date for this NPI number is 9/5/2013 and was last updated on 7/20/2016.

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
1	251C00000X	Day Training, Developmentally Disabled Services			KANSAS	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			KANSAS	Yes

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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