All About Our Seniors Adult Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC-0432 Issued in SC

Legal business name

ALL ABOUT OUR SENIORS ADULT DAY CARE, LLC

Practice address

1306 W Poinsett St
Greer, SC 29650-1250

Phone

(864) 479-9111

Fax

(866) 562-4804

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Tanika Lavet Wallace

Title

Program Director

Phone

(864) 469-7192

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1164927166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501250",
            "telephone_number": "864-469-7192",
            "fax_number": "866-562-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501250",
            "telephone_number": "864-479-9111",
            "fax_number": "866-562-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT OUR SENIORS ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "TANIKA",
        "authorized_official_middle_name": "LAVET",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "864-469-7192"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC-0432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1698",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Greer, SC
• Providers in Greer, SC by specialty
• Adult Day Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.