Shuffett's Adult Day Care, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

750111 Issued in KY

Legal business name

SHUFFETT'S ADULT DAY CARE, INC.

Doing business as

Edmonton Adult Day Health

Practice address

104 Hill St
Edmonton, KY 42129-9412

Phone

(270) 432-3851

Fax

(270) 432-5673

NPI assigned

Apr 13, 2013

Last updated

Apr 13, 2013By 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. Marcia McDonald Shuffett, BS BUSINESS/ACCOUNTI

Title

Director

Phone

(270) 432-3851

Specialties & licenses 1

Addresses

Other names 1

• Edmonton Adult Day Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Anne Shuffett

  • Day Training/Habilitation Specialist
  • Edmonton, KY
  • NPI 1467395541
  NPD (past)

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

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365811200000",
    "number": "1861835498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HILL ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421299412",
            "telephone_number": "270-432-3851",
            "fax_number": "270-432-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HILL ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421299412",
            "telephone_number": "270-432-3851",
            "fax_number": "270-432-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUFFETT'S ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-13",
        "last_updated": "2013-04-13",
        "status": "A",
        "authorized_official_last_name": "SHUFFETT",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "MCDONALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-432-3851",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS BUSINESS/ACCOUNTI"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edmonton Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tony Rutherford, CASE MANAGER
• Mark Saderholm, LPCC
• Kaytlyn Sharp, PHARMD
• Sherry G Shirley - Jones, MD
• Elizabeth Anne Shuffett
• Lindsay Jo Stice Huff, APRN
• Kelsey Sturgeon
• T J Health Columbia Inc (T J Health Edmonton)
• Danietta Kaye Taylor
• Genevieve Thomas, LPCA

• Adult Day Care Clinic/Center in Edmonton, KY
• Providers in Edmonton, KY by specialty
• Adult Day Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.