Marlboro Adult Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC 243 Issued in SC

Legal business name

MARLBORO ADULT CARE INC

Doing business as

Marlboro Adult Day Health Care Inc

Practice address

1039 Cheraw Street
Bennettsville, SC 29512-2422

Phone

(843) 479-0603

Fax

(843) 479-0081

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By 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

Ms. Denise P Washington, RN

Title

Administrator

Phone

(843) 479-0603

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marlboro Adult Day Health Care Inc Doing business as

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174662134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "address_2": "1039 CHERAW STREET",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122422",
            "telephone_number": "843-479-0603",
            "fax_number": "843-479-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 CHERAW STREET",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122422",
            "telephone_number": "843-479-0603",
            "fax_number": "843-479-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO ADULT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-479-0603",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC 243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0696",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marlboro Adult Day Health Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tameka Andrea Lloyd, MA
• Daniel Louis Lockamy, MA, LPC
• Abigail Marie Locklear
• Lisa C Long, RN
• Maye Malachi, RN
• Marlboro Clinic Corp
• Marlboro Clinic Corp (Women's Health Specialists)
• Marlboro Clinic Corp (Marlboro Women's Health)
• Marlboro County Council (Marlboro County EMS)
• Marlboro County Disabilities & Special Needs Board

• Adult Day Care Clinic/Center in Bennettsville, SC
• Providers in Bennettsville, 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 22, 2020; 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.