Active NPI
Daily Living Adc LLC
- Adult Day Care Clinic/Center
- Kingstree, SC
National Provider Identifier
1962970012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EN1760 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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- Tracy Cooper
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- Monique Franchelle Dawkins
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- Raymond Henry Dominici Jr., MD
- Donya Wallace Counseling &Consulting LLC
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.