SOUTH CENTRAL DEVELOPMENTAL SERVICES (NPI# 1841832870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841832870 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL DEVELOPMENTAL SERVICES |
| Practice Address |
821 J St Cozad NE 69130-1708 |
| Mailing Address |
Po Box 367 Cozad NE 69130-0367 |
| Practice Telephone | 3087844222 |
| Practice Fax Number | 3087844231 |
| Mailing Telephone | 3087844222 |
| Mailing Fax Number | 3087844231 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | KYLIE JOYCE (AGENCY ADMINISTRATOR) |
| Authorized Official Telephone | 3087844222 |
| Authorized Official Credential | PLMHP, PCMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 40797497 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH CENTRAL DEVELOPMENTAL SERVICES | 821 Ave J, Cozad, NE 69130-1708 |
| Street Address |
821 J ST |
| City | COZAD |
| State | NE |
| Zip Code | 69130-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427424902 | Ann Marie Osborn | Speech-Language Pathologist | 42625 Road 763, Cozad, NE 69130 | 2015-08-19 |
| 1710230735 | Emily Danielle Young | Physical Therapist | 303 East 12th Street, Cozad, NE 69130 | 2012-10-16 |
| 1659462000 | Larry Marvin Whiting | Nurse Anesthetist, Certified Registered | 300 East 12th Street, Cozad, NE 69130 | 2006-09-28 |
| 1407947427 | Scott Kugler Dds | Dentist | 729 Meridian, Cozad, NE 69130 | 2006-09-27 |
| 1932300027 | Alison Lynn Feik | Emergency Medical Technician, Basic | 300 East 12th Street, Cozad Community Physical Therapy, Cozad, NE 69130 | 2007-05-29 |
| 1316438898 | Lawrence Gerard Kelly | Pharmacist | 2101 O St Apt 209, Cozad, NE 69130-1077 | 2018-05-21 |
| 1568753473 | Cozad Community Hospital | Assisted Living Facility | 2300 Avenue O, Cozad, NE 69130-1080 | 2011-04-26 |
| 1306897673 | Ggnsc Cozad LLC | Skilled Nursing Facility | 318 W 18th St, Cozad, NE 69130-1110 | 2006-05-12 |
| 1861955528 | Cozad Operations LLC | Skilled Nursing Facility | 318 W 18th St, Cozad, NE 69130-1110 | 2019-04-10 |
| 1881141810 | Cozad Care and Rehabilitation Center, LLC | Assisted Living Facility | 318 W 18th St, Cozad, NE 69130-1110 | 2016-09-07 |
| Find all providers in zip 69130 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122170 | Renewed Vision Counseling and Developmental Disability Center | Day Training, Developmentally Disabled Services | 1941 S 42nd St Ste 507, Omaha, NE 68105-2945 | 2020-10-21 |
| 1689217150 | Region I Office of Human Development | Day Training, Developmentally Disabled Services | 2603 Circle Dr, Scottsbluff, NE 69361-1751 | 2019-10-28 |
| 1952960809 | Positive Transitions LLC | Day Training, Developmentally Disabled Services | 4815 N 148th Cir, Omaha, NE 68116-1477 | 2019-06-12 |
| 1982144457 | James Scott | Day Training, Developmentally Disabled Services | 5400 Walker Ave, Lincoln, NE 68504-2967 | 2017-03-03 |
| 1710379300 | Integrated Life Choices | Day Training, Developmentally Disabled Services | 6800 Normal Blvd, Lincoln, NE 68506-6828 | 2015-02-19 |
| 1801986898 | Community Alternatives Nebraska, Inc. | Day Training, Developmentally Disabled Services | 3300 Folkways Cir, Lincoln, NE 68504-4762 | 2006-10-13 |
| 1659839207 | Alpha Care Services, L.l.c | Day Training, Developmentally Disabled Services | 7200 S 84th St, La Vista, NE 68128-2115 | 2019-03-03 |
| 1700367539 | Banner County School | Day Training, Developmentally Disabled Services | 200 School St, Harrisburg, NE 69345 | 2018-08-29 |
| 1205369717 | Nicole Mccarthy | Day Training, Developmentally Disabled Services | 10011 J St, Omaha, NE 68127-1106 | 2017-04-11 |
| 1366996548 | Prime Home Developmental Disabilities Services, Inc | Day Training, Developmentally Disabled Services | 6818 Grover St, Suite 200, Omaha, NE 68106-3640 | 2016-08-05 |
| 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.