Organization Active NPI

South West Adult Day Care

  • Early Intervention Provider Agency
  • Byram, MS
National Provider Identifier
1740524099
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
NO LIC FOR MS Issued in MS
Legal business name
SOUTH WEST ADULT DAY CARE
Practice address
5638 Terry Rd
Byram, MS 39272-9200
Phone
(601) 919-6131
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Sheila Elaine WilliamsNPI 1215284278
Title
Administrator
Phone
(601) 919-6131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NO LIC FOR MS MS Primary

Addresses

Primary practice location

5638 Terry Rd
Byram, MS 39272-9200

Mailing address

5210 Brookleigh Dr
Byram, MS 39272-6009
Phone (601) 919-6131

Other identifiers 1

IdentifierTypeStateIssuer
1215284278OtherMSMEDICARE CERTIFICATION IS PENDING

National Provider Directory

National Provider Directory

Locations

5638 Terry Rd
Byram, MS 39272
Phone (601) 919-6131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1740524099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 BROOKLEIGH DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392726009",
            "telephone_number": "601-919-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 TERRY RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729200",
            "telephone_number": "601-919-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WEST ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-919-6131"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MS",
            "license": "NO LIC FOR MS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CERTIFICATION IS PENDING",
            "identifier": "1215284278",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Byram, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.