Lake City Adult Day Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE CITY ADULT DAY CARE, INC.

Practice address

122 S Acline St
Lake City, SC 29560-2633

Phone

(843) 394-8242

Fax

(843) 394-1727

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Gail L. Sauls

Title

Owner

Phone

(843) 394-8242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871611889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S ACLINE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602633",
            "telephone_number": "843-394-8242",
            "fax_number": "843-394-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S ACLINE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602633",
            "telephone_number": "843-394-8242",
            "fax_number": "843-394-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-394-8242"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.