Adrienne Holmes, M.ED, LPN
Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Philadelphia, MS
NPI 1689469348 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1689469348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 194265 (MS)
- Practice address
- 107 Saint Francis Dr
Philadelphia, MS 39350-9276 - Phone
- (601) 562-6146
- NPI assigned
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334824 | MS | MD | Licensed Practical Nurse |
| 194265 | MS | MD | Developmentally Disabled Services Day Training Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 334824 | MS | |
| Personal Care Attendant | 3747P1801X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | 194265 | MS | Yes |
Addresses
Primary practice location
107 Saint Francis Dr
Philadelphia, MS 39350-9276
Mailing address
562 State Ave
Philadelphia, MS 39350-2792
Phone (601) 562-6146
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All providers in Philadelphia, MS · Developmentally Disabled Services Day Training Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.