Senior Empowerment Center, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SENIOR EMPOWERMENT CENTER, LLC

Practice address

2524 E Alexander St Ste B
Greenville, MS 38703-3330

Phone

(404) 277-6032

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Belinda Dorsey Fletcher, PMHT

Title

Program Director

Phone

(404) 277-6032

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1265955959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 E ALEXANDER ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033330",
            "telephone_number": "404-277-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E ALEXANDER ST STE B",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033330",
            "telephone_number": "404-277-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR EMPOWERMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "DORSEY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "404-277-6032",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHT"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122052",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Lavearne Shead, SLP
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• Chasity Ann Sheppeard, FNP-C
• Shipp Family Eyecare, PLLC

• Adult Day Care Clinic/Center in Greenville, MS
• Providers in Greenville, 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 16, 2018; 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.