Mrs Jennie'S Place Adult Activity Center Corp

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MRS JENNIE'S PLACE ADULT ACTIVITY CENTER CORP

Practice address

506 Ravenstone LN
Durham, NC 27703-9621

Phone

(919) 949-6550

Fax

(919) 765-5748

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Valeria Hayes Sumpter

Title

President/Ceo

Phone

(919) 949-6550

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jennie's Place Community Enrichment Center Other name

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1871819151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 RAVENSTONE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039621",
            "telephone_number": "919-949-6550",
            "fax_number": "919-765-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 RAVENSTONE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039621",
            "telephone_number": "919-949-6550",
            "fax_number": "919-765-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRS JENNIE'S PLACE ADULT ACTIVITY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "SUMPTER",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "919-949-6550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mrs. Jennie's Place Community Enrichment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Renae Moyles, NP-C
• Casey Marie Mozingo, NP-C
• MP Krasnov PA
• Mqa Support Services LLC
• Amelia Dianne Mrache
• Mrs. Jennie'S Place Community Enrichment Center
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• MTS Speech & Language Services, Inc
• Lisa C Muasher, MD

• Developmentally Disabled Services Day Training Agency in Durham, NC
• Providers in Durham, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.