NPIMap

Organization Active NPI

Elite Adult Daycare Center

  • Adult Day Care Clinic/Center
  • Pace, MS
National Provider Identifier
1154611085
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ELITE ADULT DAYCARE CENTER
Practice address
101 Bizzell Street
Pace, MS 38764-0162
Phone
(662) 723-0034
Fax
(662) 723-0034
NPI assigned
Apr 12, 2011
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Ms. Brenda Jean Bryant
Title
Owner
Phone
(662) 723-0034

Specialties & licenses 1

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

Addresses

Primary practice location

101 Bizzell Street
Pace, MS 38764-0162

Mailing address

P.O. Box 162
101 Bizzell Street
Pace, MS 38764-0162
Phone (662) 723-0034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1154611085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 162",
            "address_2": "101 BIZZELL STREET",
            "city": "PACE",
            "state": "MS",
            "postal_code": "387640162",
            "telephone_number": "662-723-0034",
            "fax_number": "662-723-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BIZZELL STREET",
            "city": "PACE",
            "state": "MS",
            "postal_code": "387640162",
            "telephone_number": "662-723-0034",
            "fax_number": "662-723-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ADULT DAYCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-723-0034",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.