DEVELOPMENTAL CONNECTIONS (NPI# 1275804619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275804619 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL CONNECTIONS |
| Other Organization Name | TANEY COUNTY BOARD FOR THE DEVELOPMENTALLY DISABLED |
| Practice Address |
1533 E State Highway 76 Ste 1 Branson MO 65616-7422 |
| Practice Telephone | 4173354135 |
| Practice Fax Number | 4173341316 |
| Mailing Telephone | 4173354135 |
| Mailing Fax Number | 4173341316 |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |
| Authorized Official Name | MR. MAX JONES LYTLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4173354135 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Taney County Board for the Developmentally Disabled | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477874196 | Developmental Connections | Case Management | 1533 E State Highway 76, Branson, MO 65616-7422 | 2010-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Developmental Connections Inc. | 21680 Ridgetop Cir, Ste 100, Sterling, Virginia 20166 |
| Colorado Business Entities | Developmental Connections Physical Therapy Inc | 8763 W Cornell Ave #5, Lakewood, CO 80227 |
| Street Address |
1533 E STATE HIGHWAY 76 STE 1 |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-7422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083161202 | Lifequest Support Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 99 Royal Vista Dr Unit 408, Branson, MO 65616-6237 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.