Dillon Adult Day Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DILLON ADULT DAY CARE LLC

Doing business as

Dillon Adult Day Care
Dillon Adult Day Care LLC

Practice address

106 W Washington St
Dillon, SC 29536-2850

Phone

(843) 487-5040

Fax

(843) 487-5041

NPI assigned

Jun 21, 2011

Last updated

Jun 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Louise Johns

Title

Owner/Administrator

Phone

(843) 453-1435

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• DILLON ADULT DAY CARE Doing business as
• DILLON ADULT DAY CARE LLC Doing business as

Locations

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1508152364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "LITTLE ROCK",
            "state": "SC",
            "postal_code": "295670253",
            "telephone_number": "843-487-5043",
            "fax_number": "843-841-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W WASHINGTON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362850",
            "telephone_number": "843-487-5040",
            "fax_number": "843-487-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLON ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "843-453-1435"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "EX0680",
            "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": "EX0680",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DILLON ADULT DAY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DILLON ADULT DAY CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra E Daws, RDN, LD
• Viranda Deshields
• Susan Dickens
• Teresa G. Dietz, N.P.
• Dillion Vision Care, PC
• Dillon Community Pharmacy, Inc.
• Dillon Community Pharmacy, Inc.
• Dillon County Free Medical Clinic
• Dillon Eyecare Associates LTD
• Dillon Family Dental Center PC

• Adult Day Care Clinic/Center in Dillon, SC
• Providers in Dillon, SC by specialty
• Adult Day Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.