Organization Active NPI

Slidell Adult Day Health Care

  • Adult Day Care Clinic/Center
  • Slidell, LA
National Provider Identifier
1184745853
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SLIDELL ADULT DAY HEALTH CARE
Practice address
2768 SGT Alfred Dr
Slidell, LA 70458-4014
Phone
(985) 643-1112
Fax
(985) 643-3444
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Dwight Eric Denham
Title
Administrator
Phone
(985) 643-1112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Respite Care 385H00000X ADHC 5001 LA

Addresses

Primary practice location

2768 SGT Alfred Dr
Slidell, LA 70458-4014

Mailing address

2768 SGT Alfred Dr
Slidell, LA 70458-4014
Phone (985) 643-1112

National Provider Directory

National Provider Directory

Locations

3401 Pontchartrain Dr
Ste 7
Slidell, LA 70458

2768 Sgt Alfred Dr
Slidell, LA 70458
Phone (985) 643-1112

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1184745853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2768 SGT ALFRED DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704584014",
            "telephone_number": "985-643-1112",
            "fax_number": "985-643-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2768 SGT ALFRED DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704584014",
            "telephone_number": "985-643-1112",
            "fax_number": "985-643-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL ADULT DAY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "DENHAM",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-643-1112"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "LA",
            "license": "ADHC 5001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.