CHUCKS DEVELOPEMENTAL OUTREACH INC – NPI #1679701775
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CHUCKS DEVELOPEMENTAL OUTREACH INC is a residential treatment facility located in STEPHENS, AR. NPPES has assigned the NPI number 1679701775 to CHUCKS DEVELOPEMENTAL OUTREACH INC on June 26, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHUCKS DEVELOPEMENTAL OUTREACH INC” is a dba name, the actual legal business name for this organization is CHUCKS DEVELOPEMENTAL OUTREACH INC.. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHUCKS DEVELOPEMENTAL OUTREACH INC below.

NPI Profile for
CHUCKS DEVELOPEMENTAL OUTREACH INC.

NPI Number
1679701775
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHUCKS DEVELOPEMENTAL OUTREACH INC.
Doing Business As (dba): CHUCKS DEVELOPEMENTAL OUTREACH INC
Primary location
2300 OUACHITA 4
STEPHENS, AR 71764-9196
Phone: (807) 879-6149 Fax: (870) 879-1998
Mailing address
2300 OUACHITA 4 RD
STEPHENS, AR 71764
Phone: (870) 879-6149 Fax: (870) 879-1998
Organization Subpart
No
Authorized Official
CHARLES ROBERSON
CEO
Phone: (870) 879-6149
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 AR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.