Organization Active NPI

Adult Day Care Center of Martinsville & Henry County

  • Adult Day Care Clinic/Center
  • Martinsville, VA
National Provider Identifier
1750400495
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
RO-06-342 Issued in VA
Legal business name
ADULT DAY CARE CENTER OF MARTINSVILLE & HENRY COUNTY
Practice address
431 Commonwealth Boulevard E
Martinsville, VA 24112-2014
Phone
(276) 666-9400
NPI assigned
Mar 27, 2007
Last updated
Nov 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Mrs. Donna S Whitener
Title
Office Manager
Phone
(276) 666-9400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X RO-06-342 VA Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

431 Commonwealth Boulevard E
Martinsville, VA 24112-2014

Mailing address

431 Commonwealth Boulevard
Martinsville, VA 24112-2014
Phone (276) 666-9400

Other identifiers 1

IdentifierTypeStateIssuer
008730261MedicaidVA

Other names 1

  • Edwards Adult day Care Center Other name

National Provider Directory

National Provider Directory

Locations

431 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 666-9400

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1750400495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 COMMONWEALTH BOULEVARD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122014",
            "telephone_number": "276-666-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 COMMONWEALTH BOULEVARD E",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122014",
            "telephone_number": "276-666-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT DAY CARE CENTER OF MARTINSVILLE & HENRY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "WHITENER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-666-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "VA",
            "license": "RO-06-342",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008730261",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards Adult day Care Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Edwards Adult day Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.