In His Presence Daycare Ms

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

802051112 Issued in MS

Legal business name

IN HIS PRESENCE DAYCARE MS

Practice address

504 Basket St
Itta Bena, MS 38941-3206

Phone

(662) 931-3646

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Chandra Rena Jones

Title

Ceo/Owner

Phone

(663) 931-3646

Specialties & licenses 1

Addresses

Other names 1

• In His Presence Daycare Other name

Tax ID family

In His Presence Adult Daycare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• In His Presence Adult Daycare Inc.

  • Assisted Living Facility
  • Hollandale, MS
  • NPI 1831405760
  NPD tax ID

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1255694584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 BASKET STREET",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "38941",
            "telephone_number": "662-931-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 BASKET ST",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "389413206",
            "telephone_number": "662-931-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HIS PRESENCE DAYCARE MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "663-931-3646",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": "802051112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In His Presence Daycare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Greenwood Leflore Hospital
• Home in the Woods Healthcare Clinic, LLC
• Vicki Nicole Lary, CFNP
• Nathan Lewis, ATC, LAT
• Yalinda Smith Roach, FNP
• The Pharos Inc.
• Cedric Renard Williams, MS,PCMHT

• Adult Day Care Clinic/Center in Itta Bena, MS
• Providers in Itta Bena, 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 Jun 21, 2012; 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.