NPIMap

Organization Active NPI

Jefferson County Adult Day Center

  • In Home Supportive Care Agency
  • Port Arthur, TX
National Provider Identifier
1801226675
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JEFFERSON COUNTY ADULT DAY CENTER
Practice address
3100 Gulfway Dr
Port Arthur, TX 77642-5056
Phone
(409) 549-6260
Fax
(409) 985-7258
NPI assigned
Nov 14, 2013
Last updated
Nov 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Ms. Schwanna K. Johnson, RN
Title
Director
Phone
(409) 549-6260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3100 Gulfway Dr
Port Arthur, TX 77642-5056

Mailing address

PO Box 1211
Port Arthur, TX 77641-1211
Phone (409) 549-6260

National Provider Directory

National Provider Directory
Tax ID family
Jefferson County Adult Day Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3100 Gulfway Dr
Port Arthur, TX 77642
Phone (409) 549-6260

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1801226675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1211",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776411211",
            "telephone_number": "409-549-6260",
            "fax_number": "409-985-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GULFWAY DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425056",
            "telephone_number": "409-549-6260",
            "fax_number": "409-985-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCHWANNA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-549-6260",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.