Organization Active NPI

Lula Mae'S Day Center

  • Community/Behavioral Health Agency
  • Pine Bluff, AR
National Provider Identifier
1548075310
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LULA MAE'S DAY CENTER
Practice address
613 W 8TH Ave
Pine Bluff, AR 71601-4855
Phone
(870) 663-0472
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Ms. Shaneka Hamilton, MASTER SOCIAL WORKERNPI 1043847312
Title
Executive Director
Phone
(870) 663-0472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

613 W 8TH Ave
Pine Bluff, AR 71601-4855

Mailing address

2301 Starlite Dr
Pine Bluff, AR 71603-3563
Phone (870) 550-2984

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1548075310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 STARLITE DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033563",
            "telephone_number": "870-550-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W 8TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716014855",
            "telephone_number": "870-663-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LULA MAE'S DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "SHANEKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-663-0472",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTER SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.