Active NPI
South West Adult Day Care
- Early Intervention Provider Agency
- Byram, MS
National Provider Identifier
1740524099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- NO LIC FOR 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Elaine Williams
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215284278 | Other | MS | MEDICARE CERTIFICATION IS PENDING |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Byram, MS
- NPI 1215284278
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.