Word of Deliverance Adult Day Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

4000 Issued in MS

Legal business name

WORD OF DELIVERANCE ADULT DAY CARE

Practice address

509 Davis Avenue
Cleveland, MS 38732

Phone

(662) 402-1970

NPI assigned

Sep 16, 2008

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Mrs. Annie Pearl Brown-Williams

Title

Ceo

Phone

(662) 402-1970

Specialties & licenses 1

Addresses

Tax ID family

Word of Deliverance Adult Day Care2 organizations share this tax ID, including this one

Part of

Word of Deliverance Adult Day Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Word of Deliverance Adult Day Care

  • Health Maintenance Organization
  • Cleveland, MS
  • NPI 1548412919
  NPD tax ID

Locations

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1902055767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 DAVIS AV",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-402-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 DAVIS AVENUE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-402-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORD OF DELIVERANCE ADULT DAY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "BROWN-WILLIAMS",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-402-1970",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MS",
            "license": "4000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira N/a Wilson
• Rebecca Winters
• Patricia Wong Wolf, RPH
• Surkinnia Woods, M.A.
• Word of Deliverance Adult Day Care
• Word of Deliverance Divine Care Inc (N/a)
• Word of Deliverance Hospice Inc
• Bennie B Wright, M.D.
• Catharyne Costanzi Wright, APRN, BC

• Adult Care Home Facility in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Adult Care Home Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.