Organization Active NPI

We Care Adult Day Center

  • Adult Day Care Clinic/Center
  • Greenville, MS
National Provider Identifier
1225211402
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
59213 Issued in MS
Legal business name
WE CARE ADULT DAY CENTER
Practice address
620 Washington Ave
Greenville, MS 38701-3621
Phone
(662) 334-1650
Fax
(662) 334-1680
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Mr. Cleotha Montgomery
Title
Owner
Phone
(662) 334-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 59213 MS Primary

Addresses

Primary practice location

620 Washington Ave
Greenville, MS 38701-3621

Mailing address

620 Washington Ave
Greenville, MS 38701-3621
Phone (662) 334-1650

Other identifiers 1

IdentifierTypeStateIssuer
01926217MedicaidMS

National Provider Directory

National Provider Directory

Locations

620 Washington Ave
Greenville, MS 38701
Phone (662) 334-1650

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1225211402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WASHINGTON AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387013621",
            "telephone_number": "662-334-1650",
            "fax_number": "662-334-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WASHINGTON AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387013621",
            "telephone_number": "662-334-1650",
            "fax_number": "662-334-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE CARE ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CLEOTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-334-1650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": "59213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01926217",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.