Reach Adult Recreation Service, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

REACH ADULT RECREATION SERVICE, LLC

Practice address

153 E Gholson Ave
Holly Springs, MS 38635-3016

Phone

(662) 274-3049

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Joyce Smith BowensNPI 1821988858

Title

Ceo/LPN

Phone

(662) 557-2222

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Reach Adult Recreation Service LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reach Adult Recreation Service, LLC

  • Adult Day Care Clinic/Center
  • Holly Springs, MS
  • NPI 1043103849
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joyce Bowens

  • Adult Day Care Clinic/Center
  • Holly Springs, MS
  • NPI 1821988858
  NPD Authorized official

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1407101256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E GHOLSON AVE",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353016",
            "telephone_number": "662-274-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E GHOLSON AVE",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353016",
            "telephone_number": "662-274-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH ADULT RECREATION SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "BOWENS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "CEO/LPN",
        "authorized_official_telephone_number": "662-557-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07383030",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Poe
• Bridget Leigh Porter, SPEECH-LANGUAGE PATH
• Kathryn Hunter Prestage
• Hugh Henry Rather III, DMD
• Reach Adult Recreation Service, LLC
• Renal Care Group Tupelo, LLC
• Right Way Meds
• Rising Stars Personal Care Staffing Inc.
• Roniesha Roberts, MS, CCC-SLP
• Robinson'S Health Mart

• Adult Day Care Clinic/Center in Holly Springs, MS
• Providers in Holly Springs, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.