Active NPI
Magnolia Adult Day Center,LLC
- Adult Day Care Clinic/Center
- Sumter, SC
National Provider Identifier
1457590051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- ADC-0285
- Legal business name
- MAGNOLIA ADULT DAY CENTER,LLC
- Practice address
- 20 S Magnolia St
Sumter, SC 29150-5243 - Phone
- (803) 778-1086
- NPI assigned
- Feb 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shirley Greene
- Title
- Owner/Asst. Administrator
- Phone
- (803) 934-6036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | ADC-0285 | SC | Primary |
Addresses
Primary practice location
20 S Magnolia St
Sumter, SC 29150-5243
Mailing address
142 Perkins Ave
Sumter, SC 29150-6829
Phone (803) 934-6036
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233792000000",
"number": "1457590051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 PERKINS AVE",
"city": "SUMTER",
"state": "SC",
"postal_code": "291506829",
"telephone_number": "803-934-6036",
"fax_number": "803-778-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S MAGNOLIA ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291505243",
"telephone_number": "803-778-1086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA ADULT DAY CENTER,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-05",
"last_updated": "2009-02-05",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_title_or_position": "OWNER/ASST. ADMINISTRATOR",
"authorized_official_telephone_number": "803-934-6036",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "SC",
"license": "ADC-0285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.