JEFFERSON COUNTY ADULT DAY CENTER (NPI# 1083945810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083945810 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY ADULT DAY CENTER |
| Practice Address |
603 5th St Port Arthur TX 77640-6540 |
| Mailing Address |
236 Dryden Pl Port Arthur TX 77642-8315 |
| Practice Telephone | 4095496260 |
| Mailing Telephone | 4095496260 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |
| Authorized Official Name | MS. SCHWANNA K. JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 4092256475 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801226675 | Jefferson County Adult Day Center | In Home Supportive Care | 3100 Gulfway Dr, Port Arthur, TX 77642-5056 | 2013-11-14 |
| Street Address |
603 5TH ST |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-6540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201562 | Empowered Assisted Living, LLC | Custodial Care Facility | 719 Us Highway 59 North, Timpson, TX 75975 | 2020-10-06 |
| 1396399903 | Nakisha Heathmon | Custodial Care Facility | 2120 Hazlitt Dr, Houston, TX 77032-2060 | 2019-07-31 |
| 1972077097 | Boijj Oasis Living | Custodial Care Facility | 10311 Texas Sage Way, Cypress, TX 77433-6453 | 2019-01-11 |
| 1093219263 | A Provider of Hope, LLC | Custodial Care Facility | 5522 Maple Ave Apt 1402, Dallas, TX 75235-7446 | 2018-03-21 |
| 1932637816 | Lwd Investments | Custodial Care Facility | 1109 Ebert Ave, Austin, TX 78721-2544 | 2017-05-23 |
| 1639614225 | Fmc Home Health Care | Custodial Care Facility | 7322 Southwest Fwy # I-630f, Houston, TX 77074-2010 | 2017-01-05 |
| 1366985038 | Genesis Investments LLC | Custodial Care Facility | 11713 Beckton St, Mckinney, TX 75071 | 2016-11-29 |
| 1902354905 | Dixon Home and Community Services LLC | Custodial Care Facility | 6422 Gladehill Dr, Kingwood, TX 77345-2526 | 2016-09-19 |
| 1902267693 | Tommy Glaze | Custodial Care Facility | 9519 Eaglewood Glen Trl, Houston, TX 77083-6596 | 2016-03-09 |
| 1386018489 | Jumping Lilies Home Care, LLC | Custodial Care Facility | 8700 Stonebrook Pkwy Unit 2741, Frisco, TX 75034-6199 | 2015-11-30 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
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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.