Delta South Adult Care Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DELTA SOUTH ADULT CARE CENTER LLC

Practice address

640 Colonel George E Day Parkway
Sikeston, MO 63801

Phone

(573) 471-0466

Fax

(573) 471-4918

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Terry Cole

Title

Owner

Phone

(573) 471-0466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1780130930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E MALONE AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013413",
            "telephone_number": "573-471-0466",
            "fax_number": "573-471-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 COLONEL GEORGE E DAY PARKWAY",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "63801",
            "telephone_number": "573-471-0466",
            "fax_number": "573-471-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA SOUTH ADULT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-471-0466"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Deason, PHARMD
• Deidre Delaney, LPC
• Brittany Lynn Delaughter, FNP-C
• Kasie Delay, LCSW
• Delta Home Care Inc
• Delta South Rehabilitation LLC
• Delta South Skilled Nursing and Rehabilitation LLC
• Drew R Dement, PTA
• Laura Nicole Dennis, A.T.C.
• Charlotte C Dewitt, FNP

• All providers in Sikeston, MO
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.