Organization Active NPI

Still Waters Adult Day Facility

  • Adult Day Care Clinic/Center
  • Opp, AL
National Provider Identifier
1962044131
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
STILL WATERS ADULT DAY FACILITY
Practice address
700 Brantley St
Opp, AL 36467-1720
Phone
(334) 400-2932
NPI assigned
Oct 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Jeanette M Waters, PRESIDENT,LPN
Title
President
Phone
(334) 400-2932

Specialties & licenses 1

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

Addresses

Primary practice location

700 Brantley St
Opp, AL 36467-1720

Mailing address

700 Brantley St
Opp, AL 36467-1720
Phone (334) 400-2932

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1962044131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BRANTLEY ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671720",
            "telephone_number": "334-400-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BRANTLEY ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671720",
            "telephone_number": "334-400-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS ADULT DAY FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-400-2932",
        "authorized_official_credential": "PRESIDENT,LPN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.