Organization Active NPI

Mid-Delta Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Belzoni, MS
National Provider Identifier
1104787258
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MID-DELTA ADULT DAY CARE LLC
Practice address
502 N Hayden St
Belzoni, MS 39038-3616
Phone
(662) 247-3157
Fax
(662) 247-3159
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Clara Reed
Title
Owner
Phone
(662) 836-7421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

502 N Hayden St
Belzoni, MS 39038-3616

Mailing address

502 N Hayden St
Belzoni, MS 39038-3616
Phone (662) 247-3157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1104787258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N HAYDEN ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383616",
            "telephone_number": "662-247-3157",
            "fax_number": "662-247-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N HAYDEN ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383616",
            "telephone_number": "662-247-3157",
            "fax_number": "662-247-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-DELTA ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-836-7421"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belzoni, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.