Anna W Oberhousen

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

1020 Caroline Dr
Terry, MS 39170-5026

Phone

(601) 415-9533

Fax

(601) 415-9533

NPI assigned

May 19, 2012

Last updated

May 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guardian Care LLC.

  • Adult Day Care Clinic/Center
  • Crystal Springs, MS
  • NPI 1578823928
  Authorized official Same address or phone

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337385600000",
    "number": "1023378478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CAROLINE DR",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391705026",
            "telephone_number": "601-415-9533",
            "fax_number": "601-415-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CAROLINE DR",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391705026",
            "telephone_number": "601-415-9533",
            "fax_number": "601-415-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERHOUSEN",
        "first_name": "ANNA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-19",
        "last_updated": "2012-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laird Diagnostics LLC
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• Patrich Mann, R.N.
• Christopher Dwayne Massey, LCSW
• N Sight Mental Health Clinic PLLC
• Parker Medical Services, LLC
• Aaron Parker
• Pedicare Staffing Agency, LLC
• Proficient Healthcare Solutions
• Quinn Wellness

• Adult Day Care Clinic/Center in Terry, MS
• Providers in Terry, 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 May 19, 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.