BEAUTIFUL LIFE ADULT DAY CARE, INC. (NPI# 1083898639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083898639 |
| Entity Type | Organization |
| Organization Name | BEAUTIFUL LIFE ADULT DAY CARE, INC. |
| Practice Address |
1551 2nd Ave N Columbus MS 39701-4925 |
| Practice Telephone | 6623291025 |
| Mailing Telephone | 6623291025 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | MS. JENNIFER Y DOZIER (CO-ADMINISTARTOR) |
| Authorized Official Telephone | 6623291025 |
| Authorized Official Credential | CFNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08505823 | 05 |
| Street Address |
1551 2ND AVE N |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39701-4925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370828 | Southern Hospitality Transportation | Non-emergency Medical Transport (VAN) | 702 #1 Hwy 45 North, Columbus, MS 39701 | 2019-01-14 |
| 1457844466 | Red 2 Black Consulting, LLC | Nurse Practitioner | 68 Brickerton St, Columbus, MS 39701 | 2018-06-13 |
| 1194134478 | John Wesley Conn | Counselor | 1001 Maint St, Columbus, MS 39701 | 2014-08-12 |
| 1902109903 | Jeffrey Wayne Carter | Contractor | 1809 7th Avenue North, Columbus, MS 39701 | 2010-12-13 |
| 1215193933 | The Clinic At Elm Lake, P.a. | Legal Medicine | 3700 N Frontage Rd, Columbus, MS 39701 | 2008-08-01 |
| 1134322886 | Johanna R Price | Speech-Language Pathologist | 1100 College Street Muw 1340, Columbus, MS 39701 | 2007-06-08 |
| 1396952057 | Roland Franklin Colom | Dentist | 907 Military Rd, Columbus, MS 39701 | 2007-05-16 |
| 1821142902 | Bob W Meek | Counselor | 200 6th St North, Suite 401, Columbus, MS 39701 | 2007-01-23 |
| 1447324173 | Tolley Valerie | Durable Medical Equipment & Medical Supplies | 818 2nd Ave North, Columbus, MS 39701 | 2006-11-17 |
| 1548347081 | Kimberly Mullin | Counselor | 700 10th Ave South, Columbus, MS 39701 | 2006-11-01 |
| Find all providers in zip 39701 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239774 | Jennifer Crayton | Day Training, Developmentally Disabled Services | 1989 Sharbot Dr, Columbus, OH 43229-5726 | 2020-09-10 |
| 1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
| 1659993517 | Audrey Lynn Susz | Day Training, Developmentally Disabled Services | 3022 Saint John Ct Apt 1, Columbus, OH 43202-1819 | 2020-05-14 |
| 1497308357 | Sunshine Adult Daycare and Transportation | Day Training, Developmentally Disabled Services | 5163 Sinclair Rd, Columbus, OH 43229-5413 | 2019-07-19 |
| 1427514918 | Alpha & Omega Supported Living Agency, LLC | Day Training, Developmentally Disabled Services | 2236 S Hamilton Rd Ste 104, Columbus, OH 43232-4381 | 2019-02-20 |
| 1700371911 | Central Ohio Life Care Center LLC | Day Training, Developmentally Disabled Services | 1150 Morse Rd Ste 110, Columbus, OH 43229-6327 | 2018-06-29 |
| 1922512920 | Joseph Robert Malone | Day Training, Developmentally Disabled Services | 4545 Collingwood Pointe Pl, Columbus, OH 43230-8446 | 2017-11-29 |
| 1285160713 | Arc Industries Inc of Franklin County Ohio | Day Training, Developmentally Disabled Services | 2300 Marilyn Ln, Columbus, OH 43219-1792 | 2017-05-03 |
| 1104350339 | Hmsb Group of Companies | Day Training, Developmentally Disabled Services | 4510 Dundee Ave, Columbus, OH 43227-2416 | 2017-04-14 |
| 1174068332 | Rena Hall | Day Training, Developmentally Disabled Services | 5211 Argonne Dr, Columbus, GA 31907-6702 | 2016-12-27 |
| Find all providers in COLUMBUS | ||||
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| 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.