C&K Adult Recreational and Homecare Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

C&K ADULT RECREATIONAL AND HOMECARE SERVICES

Practice address

288 Green Avenue
Drew, MS 38737-0314

Phone

(662) 482-5067

Fax

(662) 482-5076

NPI assigned

Dec 20, 2016

Last updated

Dec 20, 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

Tishika Price, RN

Title

Owner/Administrator

Phone

(662) 482-5067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1285179705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "DREW",
            "state": "MS",
            "postal_code": "387370314",
            "telephone_number": "662-482-5067",
            "fax_number": "662-482-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 GREEN AVENUE",
            "city": "DREW",
            "state": "MS",
            "postal_code": "387370314",
            "telephone_number": "662-482-5067",
            "fax_number": "662-482-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&K ADULT RECREATIONAL AND HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TISHIKA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "662-482-5067",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lane Andrews, DDS
• Carol's Hospice & Palliative Services of Shelby, Mississippi, Inc.
• Delta Health Center, Inc (DHC-a W James Elementary School)
• Drew School District
• Faith&Hope Adult Daycare and Speciality Services
• Michael Gene Gilbow, R.PH.

• Adult Day Care Clinic/Center in Drew, MS
• Providers in Drew, 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 Dec 20, 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.