Provider Demographics
NPI: | 1497561559 |
---|---|
Name: | ORBIT TRAINING CENTER FOR THE BLIND |
Entity type: | Organization |
Organization Name: | ORBIT TRAINING CENTER FOR THE BLIND |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | DEBBIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SANDERS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | EDS |
Authorized Official - Phone: | 405-550-3508 |
Mailing Address - Street 1: | 756 ORBIT LN |
Mailing Address - Street 2: | |
Mailing Address - City: | CARTHAGE |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 64836-8793 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 405-550-3508 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 710 ORBIT LN |
Practice Address - Street 2: | |
Practice Address - City: | CARTHAGE |
Practice Address - State: | MO |
Practice Address - Zip Code: | 64836-6483 |
Practice Address - Country: | US |
Practice Address - Phone: | 405-939-0573 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-12-04 |
Last Update Date: | 2024-12-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation | |
No | 224ZL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Low Vision | Group - Multi-Specialty |
No | 225CA2400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Counselor | Assistive Technology Practitioner | Group - Multi-Specialty |
No | 225CA2500X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Counselor | Assistive Technology Supplier | Group - Multi-Specialty |
No | 225CX0006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Counselor | Orientation and Mobility Training Provider | Group - Multi-Specialty |
No | 226000000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Recreational Therapist Assistant | Group - Multi-Specialty | |
No | 251300000X | Agencies | Local Education Agency (LEA) | ||
No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | ||
No | 347C00000X | Transportation Services | Private Vehicle |