Organization Active NPI

Celebrate Life Day Center, L.L.C.

  • Developmentally Disabled Services Day Training Agency
  • Fayetteville, NC
National Provider Identifier
1144556887
Registry record updated Oct 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CELEBRATE LIFE DAY CENTER, L.L.C.
Practice address
5869 Yadkin Rd
Fayetteville, NC 28303-2656
Phone
(919) 452-9324
NPI assigned
Oct 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2009

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

Authorized official

Name
Mr. Marcus Jermaine Davis
Title
Ceo/Administrator
Phone
(919) 452-9324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC Primary

Addresses

Primary practice location

5869 Yadkin Rd
Fayetteville, NC 28303-2656

Mailing address

204 Lovington Dr
Fayetteville, NC 28303-2330
Phone (919) 452-9324

National Provider Directory

National Provider Directory

Locations

5869 Yadkin Rd
Fayetteville, NC 28303
Phone (919) 452-9324

NPI Registry JSON

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256947200000",
    "number": "1144556887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LOVINGTON DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032330",
            "telephone_number": "919-452-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5869 YADKIN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032656",
            "telephone_number": "919-452-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATE LIFE DAY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-31",
        "last_updated": "2009-10-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "919-452-9324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2009; 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.