Sugar Camp House Adult Day Health Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

750198 Issued in KY

Legal business name

SUGAR CAMP HOUSE ADULT DAY HEALTH CARE

Doing business as

Sugar Camp House

Practice address

157 Ky Hwy 3346
Booneville, KY 41314-4131

Phone

(606) 593-6405

Fax

(606) 593-7240

NPI assigned

Jun 26, 2017

Last updated

Jun 26, 2017By 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

Paul Neeley

Title

Director

Phone

(606) 593-6405

Specialties & licenses 1

Addresses

Other names 1

• Sugar Camp House Doing business as

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1871013326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 KY HWY 3346",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "41314",
            "telephone_number": "606-593-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 KY HWY 3346",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413144131",
            "telephone_number": "606-593-6405",
            "fax_number": "606-593-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR CAMP HOUSE ADULT DAY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "NEELEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "606-593-6405"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Camp House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sugar Camp House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Michael Patrick Jr., PHARMD
• Donna Priddy, LCSW
• Public Drug Company Inc
• Public Drug Company Inc (Booneville Discount Drugs)
• Barbara Faye Roberts, FNP APRN
• Derek Chase Thompson, PTA
• Sharon F Ward, NP-C
• Adrienne Irene Wilder, RN, BSN
• Darlene Wilson, APRN

• Adult Day Care Clinic/Center in Booneville, KY
• Providers in Booneville, 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 Jun 26, 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.