Organization Active NPI

Southern Community Adult Daycare

  • Adult Day Care Clinic/Center
  • Ocean Springs, MS
National Provider Identifier
1912041849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SOUTHERN COMMUNITY ADULT DAYCARE
Practice address
1011 Iberville Dr
Ocean Springs, MS 39564-2919
Phone
(228) 875-5123
Fax
(888) 304-0019
NPI assigned
Feb 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sonya Lynette Ramsey, REGISTERED NURSE
Title
Director Owner
Phone
(228) 875-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1011 Iberville Dr
Ocean Springs, MS 39564-2919

Mailing address

1011 Iberville Dr
Ocean Springs, MS 39564-2919
Phone (228) 875-5123

Other identifiers 1

IdentifierTypeStateIssuer
09383320MedicaidMS

National Provider Directory

National Provider Directory

Locations

1011 Iberville Dr
Ocean Springs, MS 39564
Phone (228) 875-5123

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912041849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 IBERVILLE DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642919",
            "telephone_number": "228-875-5123",
            "fax_number": "888-304-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 IBERVILLE DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642919",
            "telephone_number": "228-875-5123",
            "fax_number": "888-304-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMMUNITY ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "DIRECTOR  OWNER",
        "authorized_official_telephone_number": "228-875-5123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09383320",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • 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.