Jefferson County Day Activity & Health Service Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER

Practice address

2349 9TH Ave
Suite B, C, & D
Port Arthur, TX 77642-3834

Phone

(409) 365-4798

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Lakeisha Shepherd

Title

Director

Phone

(409) 365-4798

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1053842815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 9TH AVE",
            "address_2": "SUITE B, C, & D",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776423834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 9TH AVE",
            "address_2": "SUITE B, C, & D",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776423834",
            "telephone_number": "409-365-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-365-4798"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Jaime
• Latoya James, FNP-BC
• Rojina Habib Jasani, MD
• Jefferson County Adult Day Center
• Jefferson County Adult Day Center
• Jennifer Lewis (Social Staffing)
• June Lynette Jennings, LVN
• Jerry L Philmon (Alfords Pharmacy)
• Fareesha Jiwani, PA
• John a Iceton MD PA

• Adult Day Care Clinic/Center in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.