JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER (NPI# 1053842815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053842815 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER |
| Practice Address |
2349 9th Ave Suite B, C, & D Port Arthur TX 77642-3834 |
| Practice Telephone | 4093654798 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | LAKEISHA SHEPHERD (DIRECTOR) |
| Authorized Official Telephone | 4093654798 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
2349 9TH AVE SUITE B, C, & D |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861864936 | Jennifer Lewis | Contractor | 2349 9th Ave, Suite B, Port Arthur, TX 77642-3834 | 2015-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801064076 | The Hughen Center, Inc. | Clinic/Center | 2849 9th Ave, Port Arthur, TX 77642-3961 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609361 | Second Baptist Church | Clinic/Center | 3310 E Commerce St, San Antonio, TX 78220-1220 | 2020-11-03 |
| 1225637127 | Claudia E Cavazos | Clinic/Center | 1209 E Fm 495 Ste 123, San Juan, TX 78589-4863 | 2020-10-21 |
| 1376150847 | Siempre Unidos Adult Day Care, LLC | Clinic/Center | 6600 N Val Verde Rd Ste F, Donna, TX 78537-3833 | 2020-09-28 |
| 1215541230 | Angeles Adult Day Care, LLC | Clinic/Center | 4100 W 3 Mile Rd, Suite 12, Mission, TX 78574-6177 | 2020-09-08 |
| 1023626868 | Givens Some Love Day Habilitation Center | Clinic/Center | 301 Sth 7th Street, Mabank, TX 75147 | 2020-07-17 |
| 1154939189 | Friends Place Adult Day Services | Clinic/Center | 1960 Nantucket Dr, Richardson, TX 75080-3354 | 2020-07-15 |
| 1033727060 | Friends Place Southwest LLC | Clinic/Center | 1232 W Belt Line Rd, Desoto, TX 75115-3738 | 2020-07-15 |
| 1922625243 | Teri Lynn Roberts | Clinic/Center | 13328 1/2 Almeda Rd, Houston, TX 77045-6628 | 2020-07-02 |
| 1730706326 | Bellaire Adult Day Care LLC | Clinic/Center | 7403 S Kirkwood Rd, Houston, TX 77072-3301 | 2020-06-29 |
| 1356966220 | Jalba Investments LLC | Clinic/Center | 604 E Ramon Ayala Dr, Hidalgo, TX 78557-2627 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
Please comment or provide details below to improve the information on JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.