Organization Active NPI

Babyboomers Adult Daycare Center

  • Alzheimer Center (Dementia Center)
  • Little Rock, AR
National Provider Identifier
1306057906
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
0098 Issued in AR
Legal business name
BABYBOOMERS ADULT DAYCARE CENTER
Practice address
3105 W 12TH St
Little Rock, AR 72204-2224
Phone
(501) 614-7999
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Mrs. Sharon D Campbell
Title
Director
Phone
(501) 614-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 0098 AR Primary

Addresses

Primary practice location

3105 W 12TH St
Little Rock, AR 72204-2224

Mailing address

3105 W 12TH St
Little Rock, AR 72204-2224
Phone (501) 614-7999

National Provider Directory

National Provider Directory

Locations

3105 W 12th St
Little Rock, AR 72204
Phone (501) 614-7999

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1306057906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042224",
            "telephone_number": "501-614-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042224",
            "telephone_number": "501-614-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABYBOOMERS ADULT DAYCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-614-7999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AR",
            "license": "0098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.