Organization Active NPI

Pulaski Adult Day Service & Fall Prevention Center, Inc.

  • Adult Day Care Clinic/Center
  • Dublin, VA
National Provider Identifier
1073963666
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PULASKI ADULT DAY SERVICE & FALL PREVENTION CENTER, INC.
Practice address
211 Fifth Street
Dublin, VA 24084-0877
Phone
(540) 320-1534
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Linda Sue Davis
Title
Executive Director
Phone
(540) 320-1534

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Adult Day Care Clinic/Center 261QA0600X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

211 Fifth Street
Dublin, VA 24084-0877

Mailing address

211 Fifth Street
Dublin, VA 24084-0877
Phone (540) 320-1534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1073963666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FIFTH STREET",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240840877",
            "telephone_number": "540-320-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FIFTH STREET",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240840877",
            "telephone_number": "540-320-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI ADULT DAY SERVICE & FALL PREVENTION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-320-1534",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.