Organization Active NPI

Chappell Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Winnsboro, SC
National Provider Identifier
1972621217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC261 Issued in SC
Legal business name
CHAPPELL ADULT DAY CARE LLC
Practice address
4340 Jackson Creek Rd
Winnsboro, SC 29180-7800
Phone
(803) 712-0146
Fax
(803) 712-0891
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Malissa Chappell
Title
Director
Phone
(803) 712-0146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC261 SC Primary

Addresses

Primary practice location

4340 Jackson Creek Rd
Winnsboro, SC 29180-7800

Mailing address

4340 Jackson Creek Rd
Winnsboro, SC 29180-7800
Phone (803) 712-0146

Other identifiers 1

IdentifierTypeStateIssuer
07749999MedicaidSC

National Provider Directory

National Provider Directory

Locations

4340 Jackson Creek Rd
Winnsboro, SC 29180
Phone (803) 712-0146

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972621217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 JACKSON CREEK RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807800",
            "telephone_number": "803-712-0146",
            "fax_number": "803-712-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 JACKSON CREEK RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807800",
            "telephone_number": "803-712-0146",
            "fax_number": "803-712-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPPELL ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-712-0146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07749999",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.