Active NPI
McLin , S Adult Daycare
- Adult Day Care Clinic/Center
- Jackson, MS
National Provider Identifier
1225211154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.