Active NPI
Golden Angels Adult Daycare, LLC
- Community/Behavioral Health Agency
- Hattiesburg, MS
National Provider Identifier
1982080388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GOLDEN ANGELS ADULT DAYCARE, LLC
- Practice address
- 199 Mary Magdalene Rd
Hattiesburg, MS 39401-8435 - Phone
- (601) 394-3941
- Fax
- (601) 928-5399
- NPI assigned
- Aug 7, 2015
- 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
- Mrs. Freda C Covington, REGISTERED NURSE
- Title
- Ceo/Director
- Phone
- (601) 394-3941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
199 Mary Magdalene Rd
Hattiesburg, MS 39401-8435
Mailing address
199 Mary Magdalene Rd
Hattiesburg, MS 39401-8435
Phone (601) 394-3941
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438905600000",
"number": "1982080388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 MARY MAGDALENE RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394018435",
"telephone_number": "601-394-3941",
"fax_number": "601-928-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 MARY MAGDALENE RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394018435",
"telephone_number": "601-394-3941",
"fax_number": "601-928-5399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN ANGELS ADULT DAYCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-07",
"last_updated": "2015-08-07",
"status": "A",
"authorized_official_last_name": "COVINGTON",
"authorized_official_first_name": "FREDA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "601-394-3941",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.