Organization Active NPI

New Vineyard Community Development Center

  • Adult Day Care Clinic/Center
  • Jackson, MS
National Provider Identifier
1912877317
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
NEW VINEYARD COMMUNITY DEVELOPMENT CENTER
Practice address
3895 Henderson Rd
Jackson, MS 39272-4411
Phone
(601) 487-2330
NPI assigned
Nov 10, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Latanya Sanders-Kelker
Title
Administrator
Phone
(601) 487-2330

Specialties & licenses 1

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

Addresses

Primary practice location

3895 Henderson Rd
Jackson, MS 39272-4411

Mailing address

3895 Henderson Rd
Jackson, MS 39272-4411
Phone (601) 487-2330

National Provider Directory

National Provider Directory

Locations

3895 Henderson Rd
Jackson, MS 39272
Phone (601) 487-2330

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1912877317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 HENDERSON RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392724411",
            "telephone_number": "601-487-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 HENDERSON RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392724411",
            "telephone_number": "601-487-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VINEYARD COMMUNITY DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SANDERS-KELKER",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-487-2330"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.