Organization Active NPI

McLin , S Adult Daycare

  • Adult Day Care Clinic/Center
  • Jackson, MS
National Provider Identifier
1225211154
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MCLIN , S ADULT DAYCARE
Practice address
10 Twelve Oaks Cir
Jackson, MS 39209-6562
Phone
(601) 922-1769
Fax
(601) 922-1769
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mrs. Pamela Vernita McLin
Title
Director
Phone
(601) 922-1769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MS Primary

Addresses

Primary practice location

10 Twelve Oaks Cir
Jackson, MS 39209-6562

Mailing address

10 Twelve Oaks Cir
Jackson, MS 39209-6562
Phone (601) 922-1769

National Provider Directory

National Provider Directory

Locations

10 Twelve Oaks Cir
Jackson, MS 39209
Phone (601) 922-1769

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1225211154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TWELVE OAKS CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392096562",
            "telephone_number": "601-922-1769",
            "fax_number": "601-922-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TWELVE OAKS CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392096562",
            "telephone_number": "601-922-1769",
            "fax_number": "601-922-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLIN , S ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "MCLIN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "VERNITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-922-1769",
        "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": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.