Organization Active NPI

Ourtime Adult Day Care Services

  • Adult Day Care Clinic/Center
  • Jackson, MS
National Provider Identifier
1275961393
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
OURTIME ADULT DAY CARE SERVICES
Practice address
350 W Woodrow Wilson Ave Ste 300
Jackson, MS 39213-7683
Phone
(601) 487-8402
Fax
(601) 487-8460
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Mrs. Monica Tobias, CEO
Title
Owner/Director
Phone
(601) 668-3752

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 251S00000X MS
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

350 W Woodrow Wilson Ave Ste 300
Jackson, MS 39213-7683

Mailing address

350 W Woodrow Wilson Ave Ste 300
Jackson, MS 39213-7683
Phone (601) 487-8402

National Provider Directory

National Provider Directory

Locations

112 Four LN Hwy 49
Bentonia, MS 39040

350 W Woodrow Wilson Ave
Ste 300
Jackson, MS 39213
Phone (601) 487-8402

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1275961393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE STE 300",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137683",
            "telephone_number": "601-487-8402",
            "fax_number": "601-487-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE STE 300",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137683",
            "telephone_number": "601-487-8402",
            "fax_number": "601-487-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURTIME ADULT DAY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "TOBIAS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "601-668-3752",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "251S00000X",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.