Beverly Forrest-Butts

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

802066241 Issued in MS

Practice address

407 NW Depot St
Durant, MS 39063-3705

Phone

(662) 230-0947

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Serenity Healthcare Services

  • Respite Care
  • Winona, MS
  • NPI 1346508819

  Adult Day Care

  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1083171334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CHURCH ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672802",
            "telephone_number": "662-230-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 NW DEPOT ST",
            "city": "DURANT",
            "state": "MS",
            "postal_code": "390633705",
            "telephone_number": "662-230-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST-BUTTS",
        "first_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": "802066241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BSW Inc
• Durant Healthcare LLC
• Durant Primary Care Clinic
• Durant Public School District
• James Myers Ferguson
• Ronnie Gladney
• Glover Primary Care Clinic
• Holmes County Long Term Care Center - Durant
• Horace E. Glover Medical Services
• Sharon B Lofton, FNP

• Adult Day Care Clinic/Center in Durant, MS
• Providers in Durant, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.