Our Mommy's and Dadddy's Adult Day Care Center

Primary specialty

Respite CareTaxonomy code 385H00000X

License

146 Issued in AR

Legal business name

OUR MOMMY'S AND DADDDY'S ADULT DAY CARE CENTER

Practice address

1406 E Harding Ave
Pine Bluff, AR 71601-6168

Phone

(870) 536-7404

NPI assigned

Oct 27, 2011

Last updated

Oct 27, 2011By 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

Miss Maxcine Henderson, CNA

Title

Director

Phone

(870) 692-5879

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1023394608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 E HARDING AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716016168",
            "telephone_number": "870-536-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 E HARDING AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716016168",
            "telephone_number": "870-536-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR MOMMY'S AND DADDDY'S ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MAXCINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-692-5879",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AR",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188575755",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Offutt, APRN
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• Respite Care in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Respite Care in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.