NPIMap

Organization Active NPI

Moorhead Adult Daycare

  • Developmentally Disabled Services Day Training Agency
  • Sidon, MS
National Provider Identifier
1891030516
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MOORHEAD ADULT DAYCARE
Practice address
107 Smith Alley
Sidon, MS 38954-6237
Phone
(662) 588-9510
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Lillie Mae Price
Title
Co-Owner
Phone
(662) 588-9510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

107 Smith Alley
Sidon, MS 38954-6237

Mailing address

119 E Percy St
Greenwood, MS 38930-6237
Phone (662) 588-9510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1891030516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E PERCY ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306237",
            "telephone_number": "662-588-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SMITH ALLEY",
            "city": "SIDON",
            "state": "MS",
            "postal_code": "389546237",
            "telephone_number": "662-588-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORHEAD ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "662-588-9510"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.