Organization Active NPI

Miss Daisy'S & Associates, Inc

  • Adult Care Home Facility
  • Wilson, NC
National Provider Identifier
1750416558
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3409161MedicaidNC
7803850MedicaidNC
7804597MedicaidNC
7804785MedicaidNC
7803269MedicaidNC
7804645MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.