Organization Active NPI

Promise Groves Adult Day Center

  • Adult Day Care Clinic/Center
  • Cordova, TN
National Provider Identifier
1467825083
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.