Aijan Gracefully LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

AIJAN GRACEFULLY LLC

Practice address

812 Hellams St
Fountain Inn, SC 29644-9445

Phone

(864) 569-8557

NPI assigned

Mar 11, 2020

Last updated

Mar 11, 2020By 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

Silvia C LandrumNPI 1861767311

Title

Owner

Phone

(864) 569-8557

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Silvia Charlene Landrum, LPC-S

  • Professional Counselor
  • Taylors, SC
  • NPI 1861767311
  NPD Authorized official

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1881229649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 JONES RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 HELLAMS ST",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449445",
            "telephone_number": "864-569-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIJAN GRACEFULLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-569-8557"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FountainInn",
            "affiliation": "N",
            "address_1": "812 Hellams St",
            "city": "Fountain Inn",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296449445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Fountain Inn, SC
• Providers in Fountain Inn, SC by specialty
• Adult Day Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.