Active NPI
Collins Adult Day Care
Doing business as Collins Adult Day Care, LLC
- Respite Care
- Collins, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- COLLINS ADULT DAY CARE
- Doing business as
- Collins Adult Day Care, LLC
- Practice address
- 409 N Fir Ave
Collins, MS 39428-4200 - Phone
- (601) 919-6131
- NPI assigned
- Oct 28, 2015
- Last updated
- Oct 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Williams
- Title
- Owner/Administrator
- Phone
- (601) 919-6131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | MS | Primary |
Addresses
Primary practice location
409 N Fir Ave
Collins, MS 39428-4200
Mailing address
5210 Brookleigh Dr
Byram, MS 39272-6009
Phone (601) 919-6131
Other names 1
- Collins Adult Day Care, LLC
National Provider Directory
National Provider DirectoryLocations
409 N Fir Ave
Collins, MS 39428
Phone (601) 919-6131
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Byram, MS
- NPI 1215284278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445990400000",
"number": "1619349768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 BROOKLEIGH DR",
"city": "BYRAM",
"state": "MS",
"postal_code": "392726009",
"telephone_number": "601-919-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N FIR AVE",
"city": "COLLINS",
"state": "MS",
"postal_code": "394284200",
"telephone_number": "601-919-6131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLINS ADULT DAY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "601-919-6131"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Collins Adult Day Care, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Collins, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.