Elise's Place Adc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ELISE'S PLACE ADC

Practice address

924 Broadmoor Dr
Indianola, MS 38751-3608

Phone

(662) 207-9842

NPI assigned

May 17, 2017

Last updated

May 17, 2017By 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

Mrs. Jacqueline HannahNPI 1528447471

Title

Director

Phone

(662) 207-9842

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Hannah

  • Assisted Living Facility (Behavioral Disturbances)
  • Indianola, MS
  • NPI 1528447471

  Adult Day Care

  NPD (past) Authorized official

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1194252494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 BROADMOOR DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387513608",
            "telephone_number": "16622079842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 BROADMOOR DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387513608",
            "telephone_number": "662-207-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISE'S PLACE ADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-207-9842",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Downs Jr.
• Laura Elizabeth Turner Downs, FNP-C
• Arteya McGuire Drain, RMA/WELLNESS COACH
• David Keith Dunigan, M.D.
• Dynamic Indianola Operating LLC (Indianola Health & Rehabilitation Center)
• Eternity Hospice Inc
• Family Dental Care
• Fast Pace Mississippi, PLLC
• Fit4Me Adult Day Care
• Deedra Brackeen Fontana, RPH

• Adult Day Care Clinic/Center in Indianola, MS
• Providers in Indianola, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.