Organization Active NPI

Johnsonville Adult Day Center

  • Adult Day Care Clinic/Center
  • Johnsonville, SC
National Provider Identifier
1073802633
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC0298 Issued in SC
Legal business name
JOHNSONVILLE ADULT DAY CENTER
Doing business as
Johnsonville Adult Day Center
Practice address
351 S. Midway Highway
Johnsonville, SC 29555
Phone
(843) 380-0777
Fax
(843) 380-1531
NPI assigned
Apr 5, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Mrs. Rhonda Hart Robinson
Title
Administrator
Phone
(843) 380-0777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC0298 SC Primary
Non-emergency Medical Transport (VAN) 343900000X SC

Addresses

Primary practice location

351 S. Midway Highway
Johnsonville, SC 29555

Mailing address

P.O. Box 1118
Johnsonville, SC 29555-1118
Phone (843) 380-0777

Other names 1

  • Johnsonville Adult Day Center Doing business as

National Provider Directory

National Provider Directory

Locations

351 S Midway Hwy
Johnsonville, SC 29555
Phone (843) 380-0777

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1073802633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1118",
            "city": "JOHNSONVILLE",
            "state": "SC",
            "postal_code": "295551118",
            "telephone_number": "843-380-0777",
            "fax_number": "843-380-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S. MIDWAY HIGHWAY",
            "city": "JOHNSONVILLE",
            "state": "SC",
            "postal_code": "29555",
            "telephone_number": "843-380-0777",
            "fax_number": "843-380-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSONVILLE ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-380-0777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC0298",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnsonville Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.