Active NPI
Adult Day Care Center of Martinsville & Henry County
- Adult Day Care Clinic/Center
- Martinsville, VA
National Provider Identifier
1750400495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- RO-06-342
- 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, 2018
- 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
- Mrs. Donna S Whitener
- Title
- Office Manager
- Phone
- (276) 666-9400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008730261 | Medicaid | VA |
Other names 1
- Edwards Adult day Care Center
National Provider Directory
National Provider DirectoryLocations
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.