Port City Adult Daycare

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PORT CITY ADULT DAYCARE

Practice address

1255 S Raceway Rd
Greenville, MS 38703-8208

Phone

(662) 701-5856

Fax

(662) 796-0611

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Bettie Jo Pruitt

Title

Owner

Phone

(662) 701-5856

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1013283688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5453",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045453",
            "telephone_number": "662-701-5856",
            "fax_number": "662-796-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S RACEWAY RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387038208",
            "telephone_number": "662-701-5856",
            "fax_number": "662-796-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "BETTIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-701-5856",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Brasier Pinion, CFNP
• Coursey Pitts, AUD
• PLC Professional Staffing Solutions, LLC
• Poe Chiropractic, LLC
• Willie Andrew Pole Jr., LCSW
• Port City Personal Care Services LLC
• John M Portera, DPM
• Joseph Peter Portera, O.D.
• Potter Medical Services LLC
• Rhonda F Potter, NP

• Adult Day Care Clinic/Center in Greenville, MS
• Providers in Greenville, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.