Organization Active NPI

Gussie Mae Special Needs Adult Daycare Center, Inc.

  • Adult Day Care Clinic/Center
  • Desoto, TX
National Provider Identifier
1780216192
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GUSSIE MAE SPECIAL NEEDS ADULT DAYCARE CENTER, INC.
Practice address
215 Dalton Dr Ste E
Desoto, TX 75115-4453
Phone
(972) 230-7723
Fax
(972) 230-7724
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Mrs. Jonika GeraldNPI 1942830609
Title
Owner
Phone
(972) 230-7723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

215 Dalton Dr Ste E
Desoto, TX 75115-4453

Mailing address

PO Box 3933
Cedar Hill, TX 75106-3933
Phone (972) 230-7723

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rwoolen@att.net Direct
Direct Messaging Address rwoolen@att.net Direct

National Provider Directory

National Provider Directory

Locations

215 Dalton Dr
Ste E
Desoto, TX 75115
Phone (972) 230-7723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1780216192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3933",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751063933",
            "telephone_number": "972-230-7723",
            "fax_number": "972-230-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DALTON DR STE E",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154453",
            "telephone_number": "972-230-7723",
            "fax_number": "972-230-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSSIE MAE SPECIAL NEEDS ADULT DAYCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "GERALD",
        "authorized_official_first_name": "JONIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-230-7723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwoolen@att.net",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "215 Dalton Dr Ste E",
            "city": "DeSoto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751154453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwoolen@att.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "215 Dalton Dr Ste E",
            "city": "DeSoto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751154453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.