Active NPI
Promise Groves Adult Day Center
- Adult Day Care Clinic/Center
- Cordova, TN
National Provider Identifier
1467825083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- PROMISE GROVES ADULT DAY CENTER
- Practice address
- 8556 Macon Rd
Cordova, TN 38018-6100 - Phone
- (901) 218-2294
- NPI assigned
- Nov 4, 2015
- 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
- Kimberly Nicole Weston
- Title
- Executive Director
- Phone
- (901) 218-2294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | TN | Primary |
Addresses
Primary practice location
8556 Macon Rd
Cordova, TN 38018-6100
Mailing address
1057 Kentshire CV
Cordova, TN 38018-7516
Phone (901) 218-2294
National Provider Directory
National Provider DirectoryLocations
8556 Macon Rd
Cordova, TN 38018
Phone (901) 218-2294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1467825083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 KENTSHIRE CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187516",
"telephone_number": "901-218-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8556 MACON RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186100",
"telephone_number": "901-218-2294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMISE GROVES ADULT DAY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-04",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WESTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "901-218-2294"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.