Conway Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC165 Issued in SC

Legal business name

CONWAY ADULT DAY CARE

Practice address

2300 Church St
Suite 15
Conway, SC 29526-2929

Phone

(843) 369-2273

Fax

(843) 369-0100

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Valentine Vance II

Title

Vice President of Operations

Phone

(843) 450-3497

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932256807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 PLAZA DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769356",
            "telephone_number": "843-652-0011",
            "fax_number": "843-369-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CHURCH ST",
            "address_2": "SUITE 15",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295262929",
            "telephone_number": "843-369-2273",
            "fax_number": "843-369-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "VALENTINE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "843-450-3497",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXO 533",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Conway, SC
• Providers in Conway, 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 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.