Mount Zion Adult Day Care

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MOUNT ZION ADULT DAY CARE

Doing business as

Mt. Zion Economic Community Center, Inc.

Practice address

4027 Fred Martin Rd
Summit, MS 39666-8019

Phone

(601) 249-1999

NPI assigned

Jan 14, 2009

Organization subpart

Yes

Parent organization

MT. ZION ECONOMIC COMMUNITY CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mr. Benton Thompson, MBA

Title

Administrator

Phone

(601) 249-1999

Specialties & licenses 2

Addresses

Other names 1

• Mt. Zion Economic Community Center, Inc. Doing business as

Part of

Mount Zion Adult Day Care

Locations

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1811134778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 FRED MARTIN RD",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668019",
            "telephone_number": "601-249-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 FRED MARTIN RD",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668019",
            "telephone_number": "601-249-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ZION ADULT DAY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MT. ZION ECONOMIC COMMUNITY CENTER, INC.",
        "enumeration_date": "2009-01-14",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BENTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-249-1999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Zion Economic Community Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt. Zion Economic Community Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shamona P Miller, M.S., CCC-SLP
• Kimberly Minter
• Anne Moler
• Samantha Moore
• Carly Moreau
• Keyamber Moyd
• Stephanie Mumbower
• Elizabeth Myrick, OTR/L
• Chasity Lynne Newman, M.ED. , RBT
• Rebecca Newman

• Exclusive Provider Organization in Summit, MS
• Providers in Summit, MS by specialty
• Exclusive Provider Organization in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.