North Delta Adult Daycare

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

NORTH DELTA ADULT DAYCARE

Practice address

1200 Stateline Rd W
Southaven, MS 38671-1430

Phone

(662) 393-6128

Fax

(662) 342-0655

NPI assigned

Apr 15, 2013

Organization subpart

No

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

Authorized official

Name

Raymond Earl Vallier

Title

Ceo/Administrator

Phone

(662) 393-6128

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1619310182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STATELINE RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711430",
            "telephone_number": "662-393-6128",
            "fax_number": "662-342-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATELINE RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711430",
            "telephone_number": "662-393-6128",
            "fax_number": "662-342-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DELTA ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "VALLIER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "662-393-6128"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciao Z Newman, M.D.
• Jolandria Newmy
• Abigail Nix, PHARMD, RPH
• Melinda B Nix, LPN
• No Place Like Home Inc
• North Delta Hospice and Palliative Services,LLC
• North Delta Medical Services, Inc
• North Delta Staffing Services
• North Mississippi Dental Specialists, PLLC
• North Mississippi Foot Specialists PC

• Adult Day Care Clinic/Center in Southaven, MS
• Providers in Southaven, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.