Reaching Our Community Youth and Adult Daycare

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

REACHING OUR COMMUNITY YOUTH AND ADULT DAYCARE

Doing business as

Reaching Our Community Adult Daycare, LLC

Practice address

469 E Northside Dr
Clinton, MS 39056-3467

Phone

(601) 488-4765

Fax

(601) 488-4778

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Darron Banks

Title

President/Ceo

Phone

(601) 624-4239

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Reaching Our Community Adult Daycare, LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1649643578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 E. NORTHSIDE DR",
            "address_2": "109 ANGELIA LANE",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563467",
            "telephone_number": "601-488-4765",
            "fax_number": "601-488-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 E NORTHSIDE DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563467",
            "telephone_number": "601-488-4765",
            "fax_number": "601-488-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING OUR COMMUNITY YOUTH AND ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DARRON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "601-624-4239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WN0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05386051",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vivianbanksvp@rthopeless.org",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "469 E Northside Dr",
            "city": "Clinton",
            "state": "MS",
            "country_code": "US",
            "postal_code": "390563467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reaching Our Community Adult Daycare, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reaching Our Community Adult Daycare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Clinton, MS
• Providers in Clinton, 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 Jun 24, 2020; 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.