FAMILY FIRST ADULT DAYCARE LLC (NPI# 1417292137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417292137 |
Entity Type | Organization |
Organization Name | FAMILY FIRST ADULT DAYCARE LLC |
Practice Address |
112 Scotland Cir Hattiesburg MS 39401-8326 |
Practice Telephone | 3307982401 |
Enumeration Date | 2012-12-06 |
Last Update Date | 2012-12-06 |
Authorized Official Name | MR. MYRON LEE (BUSSINESS OWNER) |
Authorized Official Telephone | 3307982401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251T00000X | PACE Provider Organization | Agencies |
Street Address |
112 SCOTLAND CIR |
City | HATTIESBURG |
State | MS |
Zip Code | 39401-8326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
Find all providers in zip 39401 |
Taxonomy Code | 251T00000X |
Grouping | Agencies |
Classification | PACE Provider Organization |
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093071300 | Metroplex Center, LLC | PACE Provider Organization | 312 Green St, Hattiesburg, MS 39401-3758 | 2012-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740626290 | Yolanda H. Jackson | PACE Provider Organization | 512 Thomas St., Boyle, MS 38730 | 2013-05-10 |
1407118698 | G.h.c. Incorporated | PACE Provider Organization | 548 Rosemary Rd Ste C, Cleveland, MS 38732-2075 | 2012-06-13 |
1861836132 | Restorations Adult Daycare | PACE Provider Organization | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-17 |
1225374903 | Parental Adult Daycare | PACE Provider Organization | 215 W Main St, Marks, MS 38646-1136 | 2012-12-27 |
City | HATTIESBURG |
Zip Code | 39401 |
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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.