Provider Demographics
NPI:1689454126
Name:DEVELOPMENT ACADEMY CORPORATION
Entity Type:Organization
Organization Name:DEVELOPMENT ACADEMY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JARVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-910-1117
Mailing Address - Street 1:2414 ARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-9577
Mailing Address - Country:US
Mailing Address - Phone:502-910-1117
Mailing Address - Fax:
Practice Address - Street 1:5601 WILKE FARM AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-1289
Practice Address - Country:US
Practice Address - Phone:812-225-9259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
No305S00000XManaged Care OrganizationsPoint of Service
No347B00000XTransportation ServicesBusGroup - Multi-Specialty