Organization Active NPI

Daily Living Adc LLC

  • Adult Day Care Clinic/Center
  • Kingstree, SC
National Provider Identifier
1962970012
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DAILY LIVING ADC LLC
Practice address
1307 N Longstreet St
Kingstree, SC 29556-2739
Phone
(843) 206-9042
NPI assigned
Nov 7, 2018
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Lavonya Williams
Title
Owner
Phone
(843) 206-9042

Specialties & licenses 1

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

Addresses

Primary practice location

1307 N Longstreet St
Kingstree, SC 29556-2739

Mailing address

1307 N Longstreet St
Kingstree, SC 29556-2739
Phone (843) 206-9042

Other identifiers 1

IdentifierTypeStateIssuer
EN1760MedicaidSC

National Provider Directory

National Provider Directory

Locations

1307 N Longstreet St
Kingstree, SC 29556
Phone (843) 206-9042

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1962970012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N LONGSTREET ST",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295562739",
            "telephone_number": "843-206-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N LONGSTREET ST",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295562739",
            "telephone_number": "843-206-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILY LIVING ADC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAVONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-206-9042"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN1760",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.