FAMILY FIRST ADULT DAYCARE LLC


Address: 112 Scotland Cir, Hattiesburg, MS 39401-8326
Phone: 3307982401

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251T00000X PACE Provider Organization Agencies

Office Location

Street Address 112 SCOTLAND CIR
City HATTIESBURG
State MS
Zip Code 39401-8326

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251T00000X
Grouping Agencies
Classification PACE Provider Organization

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093071300 Metroplex Center, LLC PACE Provider Organization 312 Green St, Hattiesburg, MS 39401-3758 2012-04-11

Providers in the same taxonomy and state

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

Competitor

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City HATTIESBURG
Zip Code 39401

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Dataset Information

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.

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