Daily Grace Adult Day Health Services, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC000150 Issued in GA

Legal business name

DAILY GRACE ADULT DAY HEALTH SERVICES, INC

Practice address

868 Highway 49
Macon, GA 31211

Phone

(478) 745-4700

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Eulanda Lara Waller, OTR/LNPI 1073759619

Title

Administrator

Phone

(478) 318-2313

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Eulanda Lara Waller, OTR/L

  • Occupational Therapist
  • Macon, GA
  • NPI 1073759619
  NPD (past) Authorized official

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1861937443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 GA-49",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31211",
            "telephone_number": "478-745-4700",
            "fax_number": "478-745-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 HIGHWAY 49",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31211",
            "telephone_number": "478-745-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILY GRACE ADULT DAY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "EULANDA",
        "authorized_official_middle_name": "LARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-318-2313",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": "ADC000150",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "GA",
            "license": "ADC000150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "ADC000150",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyntrist, LLC
• Jordan Elizabeth Cyrus, AU.D.
• Ursula M Da-Silva, CRNA
• Carolyn Dailey, R.N.
• Jennifer Krommes Dailey, NP-C
• Paul Stephen Dale, MD
• Magendran Danapal, MD
• Vanessa Dania, MD
• Ann Carol Daniel, LMFT
• Susan Marie Daniel, FNP-C

• Adult Day Care Clinic/Center in Macon, GA
• Providers in Macon, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.