Loving Years Adult Daycare Center Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

261QA0600X Issued in VA

Legal business name

LOVING YEARS ADULT DAYCARE CENTER INC

Practice address

2793 S Crater Rd Ste H
Petersburg, VA 23805-2472

Phone

(804) 722-0005

Fax

(804) 722-0996

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Diana Garris, RN

Title

Executive Director

Phone

(804) 722-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1942699889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 S CRATER RD STE H",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052472",
            "telephone_number": "804-722-0005",
            "fax_number": "804-722-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 S CRATER RD STE H",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052472",
            "telephone_number": "804-722-0005",
            "fax_number": "804-722-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING YEARS ADULT DAYCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "GARRIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-722-0005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "VA",
            "license": "261QA0600X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163825919",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Adult Day Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.