Organization Active NPI

Central Midlands Adult Day Center

  • Adult Day Care Clinic/Center
  • Sumter, SC
National Provider Identifier
1689109845
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CENTRAL MIDLANDS ADULT DAY CENTER
Practice address
500 Miller Rd
Sumter, SC 29150-3332
Phone
(803) 607-9763
NPI assigned
Apr 25, 2017
Last updated
Apr 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Mrs. Carolyn Webb-Prince, LPN
Title
Administrator
Phone
(803) 607-9763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

500 Miller Rd
Sumter, SC 29150-3332

Mailing address

500 Miller Rd
Sumter, SC 29150-3332
Phone (803) 607-9763

Other identifiers 1

IdentifierTypeStateIssuer
RV6JVO1T0644MOGMedicaidSC

National Provider Directory

National Provider Directory

Locations

500 Miller Rd
Sumter, SC 29150
Phone (803) 607-9763

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1689109845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MILLER RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503332",
            "telephone_number": "803-607-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MILLER RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503332",
            "telephone_number": "803-607-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MIDLANDS ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "WEBB-PRINCE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-607-9763",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RV6JVO1T0644MOG",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.