Success Adult Day Health Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SUCCESS ADULT DAY HEALTH CARE CENTER

Practice address

211 N Thomas Dr
Shreveport, LA 71107-6519

Phone

(318) 655-7375

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Mardosha Peek

Title

Ceo

Phone

(318) 655-7375

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1033682943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N THOMAS DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076519",
            "telephone_number": "318-751-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N THOMAS DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076519",
            "telephone_number": "318-655-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "PEEK",
        "authorized_official_first_name": "MARDOSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-655-7375"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell T Stuermann, M.D.
• Jacob Alan Stuntz, DO
• Ashley Stutes, MD
• Ayushma Subedi
• Bipin Subedi, MD
• Sudds Transportation Service LLC
• Darlene M Sudds
• Sudha Rao MD and Willis-Knighton Medical Center
• Jane Gulick Sugar, MD
• Miles A Sugar II, MD

• Adult Day Care Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Adult Day Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.