Mile Stone Adult Day Health Service

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MILE STONE ADULT DAY HEALTH SERVICE

Practice address

206 Anderson Ave
Fort Valley, GA 31030-4144

Phone

(478) 447-1547

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By 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

Diane Davis

Title

Co Owner

Phone

(478) 447-1547

Specialties & licenses 1

Addresses

Other names 1

• Mile Stone Adult Day Health Service Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1275251431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ANDERSON AVE",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310304144",
            "telephone_number": "478-447-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ANDERSON AVE",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310304144",
            "telephone_number": "478-447-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE STONE ADULT DAY HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "478-447-1547"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https:milestonepersonalcarehome.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "206 Anderson Ave",
            "city": "Fort Valley",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310304144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mile Stone Adult Day Health Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Frederick McLaughlin Sr.
• Shavon McWilliams
• Medsrus Pharmacy Consulting, LLC
• Middle Flint Area Community Service Board (Fort Valley Outpatient)
• Middle Georgia Health Care
• Mile Stone Personal Care Home
• Juanita Miller
• Jennifer Moore
• Robert L. Nelson, M.D.
• Jonathan B O'Connor, PHARM. D

• Adult Day Care Clinic/Center in Fort Valley, GA
• Providers in Fort Valley, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.