A DIVINE MIRACLE ADULT DAY CENTER (NPI# 1396214144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396214144 |
Entity Type | Organization |
Organization Name | A DIVINE MIRACLE ADULT DAY CENTER |
Practice Address |
331 Gallatin Pike S Ste 1 Madison TN 37115-4052 |
Practice Telephone | 6158302430 |
Mailing Telephone | 6158302430 |
Enumeration Date | 2018-11-21 |
Last Update Date | 2018-12-07 |
Authorized Official Name | JOSEPHINE B SCOTT (EXECUTIVE DIRECTOR/OWNER) |
Authorized Official Telephone | 6158917412 |
Authorized Official Credential | BSN/RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | Agencies | ||
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q014710 | 05 |
Street Address |
331 GALLATIN PIKE S STE 1 |
City | MADISON |
State | TN |
Zip Code | 37115-4052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
Find all providers in zip 37115 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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NPI | Name | Taxonomy | Address | Enumeration |
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1447800917 | Hope Springs Adult Day Care Center, Inc | Clinic/Center | 4036 Gap Rd, Knoxville, TN 37912-5903 | 2019-09-17 |
1770131260 | Apple Grove Alzheimer's & Dementia Residence | Clinic/Center | 3575 Hacks Cross Rd, Memphis, TN 38125-8803 | 2019-08-28 |
1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
1821570144 | Each1 Personal Care Services | Clinic/Center | 22 Carlton Pl, Jackson, TN 38305-7938 | 2018-09-04 |
1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
1376059766 | A Home Away From Home Adult Day Care Services, LLC. | Clinic/Center | 155 Carriage House Dr Ste A, Jackson, TN 38305-3975 | 2017-12-20 |
1932611837 | Grace Givers Home Care LLC | Clinic/Center | 110 Rector Ave, Crossville, TN 38555-4482 | 2017-10-31 |
1134639552 | Cheryl Yearby | Clinic/Center | 8930 Sherida Ln, Chattanooga, TN 37416-1539 | 2017-10-11 |
1407366362 | Marsha Leake | Clinic/Center | 5724 Stage Rd Ste F, Bartlett, TN 38134-4572 | 2017-10-05 |
1306367115 | Our House Too Adult Day Services LLC | Clinic/Center | 5766 Pecan Trce, Bartlett, TN 38135-0249 | 2017-06-30 |
Find all providers with the same taxonomy |
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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.