Organization Active NPI

Senior Care Center, Incoporated

  • Adult Day Care Clinic/Center
  • Rocky Mount, VA
National Provider Identifier
1487183125
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1103764 Issued in VA
Legal business name
SENIOR CARE CENTER, INCOPORATED
Practice address
453 S Main St
Rocky Mount, VA 24151-1748
Phone
(540) 483-8000
Fax
(804) 276-2732
NPI assigned
Jun 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
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
Clifton Marcellus Coger, CPA
Title
Director
Phone
(540) 483-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1103764 VA Primary

Addresses

Primary practice location

453 S Main St
Rocky Mount, VA 24151-1748

Mailing address

453 S Main St
Rocky Mount, VA 24151-1748
Phone (540) 483-8000

National Provider Directory

National Provider Directory

Locations

453 S Main St
Rocky Mount, VA 24151
Phone (540) 483-5277

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487183125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S MAIN ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511748",
            "telephone_number": "540-483-8000",
            "fax_number": "804-276-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S MAIN ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511748",
            "telephone_number": "540-483-8000",
            "fax_number": "804-276-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE CENTER, INCOPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COGER",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "MARCELLUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-483-8000",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "VA",
            "license": "1103764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

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.