Carnage Tender Loving Care Adc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CARNAGE TENDER LOVING CARE ADC

Practice address

102 Wheeler St
Itta Bena, MS 38941-1919

Phone

(662) 254-0011

Fax

(662) 254-9511

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Augusta Carnage

Title

Owner

Phone

(662) 254-6107

Specialties & licenses 1

Addresses

Other names 1

• Tender Loving Child Care Development Center Doing business as

Locations

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1104177567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "389410474",
            "telephone_number": "662-254-0011",
            "fax_number": "662-254-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WHEELER ST",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "389411919",
            "telephone_number": "662-254-0011",
            "fax_number": "662-254-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNAGE TENDER LOVING CARE ADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "CARNAGE",
        "authorized_official_first_name": "AUGUSTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-254-6107",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Loving Child Care Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Itta Bena, MS
• Providers in Itta Bena, 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 Sep 26, 2012; 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.