Cambridge Adult Day Center-Thayer LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1228 Issued in MO

Legal business name

CAMBRIDGE ADULT DAY CENTER-THAYER LLC

Practice address

RR 3 Box 3439
Thayer, MO 65791-9304

Phone

(417) 264-2951

NPI assigned

Jan 20, 2015

Last updated

Jan 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dianna Lee Bird

Title

Program Manager

Phone

(417) 264-2951

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1851780480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 3439",
            "city": "THAYER",
            "state": "MO",
            "postal_code": "657919304",
            "telephone_number": "417-264-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 3439",
            "city": "THAYER",
            "state": "MO",
            "postal_code": "657919304",
            "telephone_number": "417-264-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE ADULT DAY CENTER-THAYER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "417-264-2951",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Thayer, MO
• Providers in Thayer, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.