Misty Sue's Adult Day Health Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC00203 Issued in GA

Legal business name

MISTY SUE'S ADULT DAY HEALTH CENTER LLC

Practice address

517 Hill St
Monroe, GA 30656-1507

Phone

(770) 267-7995

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Natasha Short

Title

Owner/Operator

Phone

(678) 986-4042

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1679087274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 HILL ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306561507",
            "telephone_number": "770-267-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 HILL ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306561507",
            "telephone_number": "770-267-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY SUE'S ADULT DAY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "678-986-4042"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": "ADC00203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Hughes, DC, PC (Burson Chiropractic Clinic)
• Douglas Christian Miller, D.O.
• Larry J Miller, D.M.D.
• Mandy Michelle Miller, MS, MSW, LCSW
• Marci Ann Miller, MS, APRN, NP-C
• Aundre R. Mitchell, FNP-BC
• Mary Grace Mitchell, MSW
• Dylan Keith Mixson, FNP-C
• Amar Mohan, MD
• Monroe Drug Company

• Adult Day Care Clinic/Center in Monroe, GA
• Providers in Monroe, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.