Jericho Adult Day Care Center Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

JERICHO ADULT DAY CARE CENTER INC.

Practice address

409 Arrowhead Blvd
B-8
Jonesboro, GA 30236-1255

Phone

(770) 477-5644

Fax

(770) 477-5647

NPI assigned

Nov 3, 2016

Last updated

Nov 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Willie Mae Briggs

Title

President/Ceo

Phone

(770) 477-5644

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JERICHO ADULT DAYCARE CENTER INC Other name

Locations

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1275085581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KENNINGTON CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362620",
            "telephone_number": "770-477-5644",
            "fax_number": "770-477-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ARROWHEAD BLVD",
            "address_2": "B-8",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361255",
            "telephone_number": "770-477-5644",
            "fax_number": "770-477-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO ADULT DAY CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-477-5644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000737283B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JERICHO ADULT DAYCARE CENTER INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jcmi (Jesus Christ Ministries, Inc)
• Yanic Jean-Jacques, MSW
• Leocharlson Jean-Louis, OTR/L
• Martha Dorothy Jenkins, MASTER DEGREE
• Ronald M Jennings, PA-C
• Stefan Alexander Jerome, PTA
• Lakeacha M Jett
• Allison R Johns, PAAA
• Amariyah Tiana Johnson
• Audrina Taylor Johnson, WHNP

• Developmentally Disabled Services Day Training Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.