Simmons Adult Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SIMMONS ADULT DAY CARE, LLC

Practice address

2175 Johnsville Road
Smoaks, SC 29481-2948

Phone

(843) 599-4230

NPI assigned

Apr 2, 2019

Last updated

Apr 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Davis

Title

Credentialing Specialists

Phone

(912) 484-3879

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1174085948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 JOHNSONVILLE RD",
            "city": "SMOAKS",
            "state": "SC",
            "postal_code": "29481",
            "telephone_number": "843-599-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 JOHNSVILLE ROAD",
            "city": "SMOAKS",
            "state": "SC",
            "postal_code": "294812948",
            "telephone_number": "843-599-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "912-484-3879"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CGS Medical
• Fetter Health Care Network Inc (Fetter Health Care Network-Smoaks Middle School Migrant Camp Location)
• Allison Sheppard, DNP, FNP-C, APRN
• Shermeyer Washington

• Adult Day Care Clinic/Center in Smoaks, SC
• Providers in Smoaks, 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 Apr 3, 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.