Active NPI
Miss Daisy'S & Associates, Inc
- Adult Care Home Facility
- Wilson, NC
National Provider Identifier
1750416558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- MISS DAISY'S & ASSOCIATES, INC
- Practice address
- 500 Ward Blvd
#C
Wilson, NC 27893-1753 - Phone
- (252) 291-4915
- Fax
- (252) 291-6962
- NPI assigned
- Feb 22, 2007
- 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. Barbara Minceys, OWNER
- Title
- Director
- Phone
- (252) 291-4915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | NC | Primary |
Addresses
Primary practice location
500 Ward Blvd
#C
Wilson, NC 27893-1753
Mailing address
PO Box 1991
#C
Wilson, NC 27894-1991
Phone (252) 291-4915
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409161 | Medicaid | NC | |
| 7803850 | Medicaid | NC | |
| 7804597 | Medicaid | NC | |
| 7804785 | Medicaid | NC | |
| 7803269 | Medicaid | NC | |
| 7804645 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
500 Ward Blvd
#C
Wilson, NC 27893
Phone (252) 291-4915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1750416558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1991",
"address_2": "#C",
"city": "WILSON",
"state": "NC",
"postal_code": "278941991",
"telephone_number": "252-291-4915",
"fax_number": "252-291-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WARD BLVD",
"address_2": "#C",
"city": "WILSON",
"state": "NC",
"postal_code": "278931753",
"telephone_number": "252-291-4915",
"fax_number": "252-291-6962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISS DAISY'S & ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MINCEYS",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "252-291-4915",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409161",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803850",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804597",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804785",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803269",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804645",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.