Ejb Adult Day Care, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EJB ADULT DAY CARE, INC

Practice address

660 Kirkland Rd
Covington, GA 30016-3316

Phone

(678) 481-6072

Fax

(678) 625-8072

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Fay Salmon

Title

Owner

Phone

(678) 481-6072

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.

• Fay A Laing

  • Adult Companion
  • Covington, GA
  • NPI 1891994745
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1699416305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 KIRKLAND RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300163316",
            "telephone_number": "678-481-6072",
            "fax_number": "678-625-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KIRKLAND RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300163316",
            "telephone_number": "678-481-6072",
            "fax_number": "678-625-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJB ADULT DAY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "SALMON",
        "authorized_official_first_name": "FAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-481-6072"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Covington, GA
• Providers in Covington, 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 Apr 5, 2022; 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.