Desmond & Puller Adult Daycare Center, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DESMOND & PULLER ADULT DAYCARE CENTER, LLC

Practice address

525 E Center St
Canton, MS 39046-3909

Phone

(601) 832-1729

NPI assigned

Sep 15, 2008

Last updated

Sep 15, 2008By 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. Annie Pearl Smith, R.N., B.S.N

Title

Director/Owner

Phone

(601) 832-1729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1295984243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E CENTER ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390463909",
            "telephone_number": "601-832-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E CENTER ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390463909",
            "telephone_number": "601-832-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESMOND & PULLER ADULT DAYCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "601-832-1729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., B.S.N"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorri Shonte Davis, FNP-C
• Keneisha Dean
• Kenyatta Yamisse Dent, MS, LPC
• Dental Solutions of Mississippi P.a.
• Dependable Medical Equipment
• Adrianne Michelle Devine, FNP-C
• Devoted Nursing Care
• Drayer Physical Therapy Institute LLC
• Drayer Physical Therapy Jackson LLC (Performance Rehab)
• Michelle C Ellison, P. T.

• Adult Care Home Facility in Canton, MS
• Providers in Canton, MS by specialty
• Adult Care Home Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.