ADVANCING LIFE SKILLS, INC. (NPI# 1215218060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215218060 |
| Entity Type | Organization |
| Organization Name | ADVANCING LIFE SKILLS, INC. |
| Practice Address |
1218 Stone St. Suite 110 Jonesboro AR 72401 |
| Practice Telephone | 8702756035 |
| Practice Fax Number | 8702756249 |
| Mailing Telephone | 8702756035 |
| Mailing Fax Number | 8702756249 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-10-14 |
| Authorized Official Name | DR. WILLIAM CLAY WOLTERS (PRESIDENT) |
| Authorized Official Telephone | 8702756035 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
1218 STONE ST. SUITE 110 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1851765143 | Kidspot Plus | Day Training, Developmentally Disabled Services | 1823 Grant Ave Ste F, Jonesboro, AR 72401-6148 | 2015-11-24 |
| 1285935171 | Gabriels Recreational Center, LLC | Day Training, Developmentally Disabled Services | 8486 Highway 85, Jonesboro, GA 30238-4308 | 2010-11-08 |
| 1003940438 | Focus, Inc | Day Training, Developmentally Disabled Services | 2809 Forest Home Rd, Jonesboro, AR 72401-5320 | 2007-03-15 |
| 1609928340 | Abilities Unlimited of Jonesboro, Inc. | Day Training, Developmentally Disabled Services | 2725 N Church St, Jonesboro, AR 72401-8306 | 2007-01-16 |
| 1275085581 | Jericho Adult Day Care Center Inc. | Day Training, Developmentally Disabled Services | 409 Arrowhead Blvd, B-8, Jonesboro, GA 30236-1255 | 2016-11-03 |
| 1720333149 | New Connections | Day Training, Developmentally Disabled Services | 9571 S Main St, Jonesboro, GA 30236-6085 | 2012-07-23 |
| 1972818136 | Amazing Grace Personal Care Services | Day Training, Developmentally Disabled Services | 115 7th St, Jonesboro, LA 71251-3417 | 2010-08-12 |
| 1326364407 | Child & Youth Pediatric Day Clinic | Day Training, Developmentally Disabled Services | 806 Glendale St, Jonesboro, AR 72401-4455 | 2010-04-14 |
| 1376671008 | The Learning Center of Northeast Arkansas, Inc. | Day Training, Developmentally Disabled Services | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667082 | Hannah Nicole Montgomery | Day Training, Developmentally Disabled Services | 1525 Merrill Dr, Little Rock, AR 72211-1821 | 2020-04-03 |
| 1801447990 | Abc Children's Academy - Clarksville Site 3 | Day Training, Developmentally Disabled Services | 105 Cherokee Ln, Clarksville, AR 72830-8014 | 2019-09-20 |
| 1679127443 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 308 E 11th St, Russellville, AR 72801-6156 | 2019-07-30 |
| 1780238550 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 110 Library Rd, Dover, AR 72837 | 2019-07-30 |
| 1134685290 | Outcomes Incorporated | Day Training, Developmentally Disabled Services | 4501 S Thompson St, Springdale, AR 72764-7464 | 2019-02-13 |
| 1154772143 | Abc Children's Academy & Developmental Center-clarksville | Day Training, Developmentally Disabled Services | 108 Cherokee Ln, Clarksville, AR 72830-8014 | 2016-06-30 |
| 1609270057 | Abc Children's Academy & Developmental Center Dover | Day Training, Developmentally Disabled Services | 105 Library Rd, Dover, AR 72837-9005 | 2014-10-14 |
| 1790197473 | Kina Burruss | Day Training, Developmentally Disabled Services | 1501 Dogwood Trl, Malvern, AR 72104-4513 | 2014-05-29 |
| 1609298306 | Cb King Jm | Day Training, Developmentally Disabled Services | 1109 North School, Dermott, AR 71638-0000 | 2014-01-15 |
| 1023450905 | Childrens Home for Life Foundation | Day Training, Developmentally Disabled Services | 644 County Road 912, Brookland, AR 72417-8658 | 2013-07-22 |
| 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.