The Claiborne at Adelaide

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE CLAIBORNE AT ADELAIDE

Practice address

74 Claiborne Way
Starkville, MS 39759-8544

Phone

(662) 268-9555

Fax

(662) 268-8187

NPI assigned

Sep 5, 2019

Last updated

Sep 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monah Folse

Title

Executive Director

Phone

(662) 268-9555

Specialties & licenses 1

Addresses

Other names 1

• The Claiborne at Adelaide Former legal business name

Locations

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1972152619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CLAIBORNE WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397598544",
            "telephone_number": "662-268-9555",
            "fax_number": "662-268-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 CLAIBORNE WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397598544",
            "telephone_number": "662-268-9555",
            "fax_number": "662-268-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLAIBORNE AT ADELAIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "FOLSE",
        "authorized_official_first_name": "MONAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-268-9555"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Claiborne at Adelaide",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Starkville, MS
• Providers in Starkville, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.