Active NPI
Triad Adult Day Care Center, Inc.
- Developmentally Disabled Services Day Training Agency
- High Point, NC
National Provider Identifier
1629108071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- MHL-041-1084
- Legal business name
- TRIAD ADULT DAY CARE CENTER, INC.
- Practice address
- 409 E Fairfield Rd
Suite a
High Point, NC 27263-2281 - Phone
- (336) 431-1537
- Fax
- (336) 431-8128
- NPI assigned
- Mar 6, 2007
- Last updated
- Dec 8, 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
- Ms. Lasonya Vaneaton, QP
- Title
- Director
- Phone
- (336) 431-1537
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MHL-041-1084 | NC | Primary |
| Adult Day Care Clinic/Center | 261QA0600X | MHL-041-1084 | NC | |
| Developmental Disabilities Clinic/Center | 261QD1600X | MHL-041-1084 | NC | |
| Assisted Living Facility (Mental Illness) | 3104A0625X | MHL-041-987 | NC | |
| Adult Care Home Facility | 311ZA0620X | MHL-041-987 | NC | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL-041-987 | NC | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL-041-813 | NC | |
| Community/Behavioral Health Agency | 251S00000X | MHL-041-1084 | NC |
Addresses
Primary practice location
409 E Fairfield Rd
Suite a
High Point, NC 27263-2281
Mailing address
409 E Fairfield Rd
Suite a
High Point, NC 27263-2281
Phone (336) 431-1537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408665 | Medicaid | NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2095728 | Triad Adult Day Care Center, Inc | Certificate of waiver | May 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
409 E Fairfield Rd
Ste A
High Point, NC 27263
Phone (336) 431-1537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449532800000",
"number": "1629108071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E FAIRFIELD RD",
"address_2": "SUITE A",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272632281",
"telephone_number": "336-431-1537",
"fax_number": "336-431-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 E FAIRFIELD RD",
"address_2": "SUITE A",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272632281",
"telephone_number": "336-431-1537",
"fax_number": "336-431-8128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIAD ADULT DAY CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2015-12-08",
"status": "A",
"authorized_official_last_name": "VANEATON",
"authorized_official_first_name": "LASONYA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "336-431-1537",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "QP"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NC",
"license": "MHL-041-1084",
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NC",
"license": "MHL-041-1084",
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NC",
"license": "MHL-041-1084",
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NC",
"license": "MHL-041-987",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "MHL-041-987",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NC",
"license": "MHL-041-987",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-041-813",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL-041-1084",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408665",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
- Triad Adult and Pediatric Medicine Inc
- Triad Adult and Pediatric Medicine, Inc.
- Triad Adult and Pediatric Medicine, Inc.
- Triad Adult and Pediatric Medicine, Inc. (Guilford Child Health-High Point)
- Triad Adult and Pediatric Medicine, Inc. (TAPM Family Medicine at Brentwood)
- Triad Care, Inc
- Triad Care, Inc.
- Triad Care, Inc.
- Triad Care, Inc.
- Triad Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.