Organization Active NPI

Adult Day Activities Samaritans LLC

  • Adult Day Care Clinic/Center
  • Pickens, SC
National Provider Identifier
1285317784
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ADULT DAY ACTIVITIES SAMARITANS LLC
Practice address
509 S Lewis St
Pickens, SC 29671-2521
Phone
(864) 351-8351
Fax
(864) 689-1200
NPI assigned
Aug 10, 2023
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mr. Lydell Gray
Title
Ceo
Phone
(864) 351-8351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

509 S Lewis St
Pickens, SC 29671-2521

Mailing address

PO Box 1448
Travelers Rest, SC 29690-1204
Phone (864) 842-2327

National Provider Directory

National Provider Directory

Locations

509 S Lewis St
Pickens, SC 29671
Phone (864) 282-4367

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1285317784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1448",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901204",
            "telephone_number": "864-842-2327",
            "fax_number": "864-897-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S LEWIS ST",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712521",
            "telephone_number": "864-351-8351",
            "fax_number": "864-689-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT DAY ACTIVITIES SAMARITANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LYDELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-351-8351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.