Senior Care Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SENIOR CARE CLINIC LLC

Practice address

109 School Street Ext
Newton, MS 39345-2272

Phone

(601) 527-5679

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Thomas

Title

Owner

Phone

(601) 527-5679

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1093443103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "DECATUR",
            "state": "MS",
            "postal_code": "393270941",
            "telephone_number": "601-527-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SCHOOL STREET EXT",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393452272",
            "telephone_number": "601-527-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-527-5679",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank David Rives, DDS
• Jason William Roberts, NP
• Hollie Ables Sappington, MD
• Jennifer L. Savell, LMFT
• Cynthia Marguerite Schuetz Boyd Smith, CFNP
• Tiffany Sims, LPC, NCC
• Smith Pharmacy, Inc.
• Buren Steve Smith Jr., PH.D.
• Donna Demetral Snow, CNP
• Southern Rides Transportation (Southern Rides Transportation LLC)

• Clinic/Center in Newton, MS
• Providers in Newton, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.