Organization Active NPI

Miss Polly's Day Care Center

  • Developmentally Disabled Services Day Training Agency
  • Wynne, AR
National Provider Identifier
1346365707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MISS POLLY'S DAY CARE CENTER
Practice address
613 Church St N
Wynne, AR 72396-2603
Phone
(870) 238-2368
Fax
(870) 238-7889
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Connie Lea Howell, M.S.E
Title
Executive Director
Phone
(870) 238-2368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

613 Church St N
Wynne, AR 72396-2603

Mailing address

613 Church St N
Wynne, AR 72396-2603
Phone (870) 238-2368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346365707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 CHURCH ST N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962603",
            "telephone_number": "870-238-2368",
            "fax_number": "870-238-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CHURCH ST N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962603",
            "telephone_number": "870-238-2368",
            "fax_number": "870-238-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISS POLLY'S DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-238-2368",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.E"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.