Organization Active NPI

St. Paul Adult Day Care

  • Respite Care
  • Union, SC
National Provider Identifier
1306015789
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
ADC-189 Issued in SC
Legal business name
ST. PAUL ADULT DAY CARE
Practice address
308 Wallace St
Union, SC 29379-2451
Phone
(864) 429-8771
NPI assigned
Feb 29, 2008
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Mrs. Nannie Jefferies
Title
Administrator
Phone
(864) 427-8420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X ADC-189 SC Primary

Addresses

Primary practice location

308 Wallace St
Union, SC 29379-2451

Mailing address

308 Wallace St
Union, SC 29379-2451
Phone (864) 429-8771

National Provider Directory

National Provider Directory

Locations

308 Wallace St
Union, SC 29379
Phone (864) 429-8771

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1306015789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WALLACE ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792451",
            "telephone_number": "864-429-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WALLACE ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792451",
            "telephone_number": "864-429-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "JEFFERIES",
        "authorized_official_first_name": "NANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-427-8420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "SC",
            "license": "ADC-189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

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