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

Last updated

Feb 22, 2019By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 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 (Howell and Heggie Drug Company)
• Durant Healthcare LLC (Holmes County Long Term Care)
• 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.