West Cleveland Adult Daycare

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

WEST CLEVELAND ADULT DAYCARE

Practice address

1210 W Highway 8
Cleveland, MS 38732-2263

Phone

(662) 347-1122

Fax

(662) 545-4695

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Stevenson Undae Prescott, J.D.NPI 1629460662

Title

Operator

Phone

(662) 347-1122

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stevenson Prescott

  • Personal Care Attendant
  • Cleveland, MS
  • NPI 1629460662
  NPD (past) Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1639558588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 OLD RULEVILLE RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-347-1122",
            "fax_number": "662-545-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W HIGHWAY 8",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322263",
            "telephone_number": "662-347-1122",
            "fax_number": "662-545-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CLEVELAND ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "STEVENSON",
        "authorized_official_middle_name": "UNDAE",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "662-347-1122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber G Warren, LPC
• James Edward Warrington Jr., D.O.
• Paul Warrington, MD
• Zachary Connell Watters
• Ways, LLC (VitalCaring Group)
• Thomas H Wiggins, D.M.D.
• Wilma Johnson Wilbanks, RPH
• Sterlyndrice W Williams, NURSE PRACTITIONER
• Russel Williamson, PHARMD
• Sydney Whittle Williamson

• Adult Day Care Clinic/Center in Cleveland, MS
• Providers in Cleveland, 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 May 26, 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.

Verify at the official NPI Registry.