Hall Adult Senior Daycare LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

HALL ADULT SENIOR DAYCARE LLC

Doing business as

Hall adult senior daycare

Practice address

105 N Hayden St
Belzoni, MS 39038-3931

Phone

(662) 235-9690

Fax

(662) 276-9763

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

HALL HEALTHCARE STAFFING SERVICEAs reported in NPPES

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

Authorized official

Name

Mr. David Hall

Title

Executive Director

Phone

(662) 235-9690

Specialties & licenses 3

Addresses

Other names 1

• Hall adult senior daycare Doing business as

Locations

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1982304853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390380402",
            "telephone_number": "662-235-9690",
            "fax_number": "662-276-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N HAYDEN ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383931",
            "telephone_number": "662-235-9690",
            "fax_number": "662-276-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL ADULT SENIOR DAYCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALL HEALTHCARE STAFFING SERVICE",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-235-9690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hall adult senior daycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.