SUPER NATURAL ADULT DAYCARE LLC (NPI# 1710240759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710240759 |
Entity Type | Organization |
Organization Name | SUPER NATURAL ADULT DAYCARE LLC |
Other Organization Name | SUPER NATURAL ADULT DAYCARE LLC |
Practice Address |
1646 Debra Dr Greenville MS 38703-7817 |
Practice Telephone | 6628200522 |
Mailing Telephone | 6628200522 |
Enumeration Date | 2012-06-22 |
Last Update Date | 2012-06-22 |
Authorized Official Name | MRS. JESSIE MAE GRAYSON (CEO/OWNER) |
Authorized Official Telephone | 6628200522 |
Is Organization Subpart | Y |
Parent Organization Name | SUPER NATURAL ADULT DAYCARE LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
MS | Ambulatory Health Care Facilities | |
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Super Natural Adult Daycare LLC | Former Legal Business Name - Organization |
Street Address |
1646 DEBRA DR |
City | GREENVILLE |
State | MS |
Zip Code | 38703-7817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
Find all providers in zip 38703 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609490101 | Circle of Life Adult Daycare | Clinic/Center | 159 Commons Way, Greenville, SC 29611-3850 | 2020-06-01 |
1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
1275179095 | Reflections of Faith LLC | Clinic/Center | 805 Park St, Greenville, TX 75401-5431 | 2019-11-27 |
1053977298 | Cal-wal Southern, LLC | Clinic/Center | 114 W Walker St, Greenville, MS 38701-4755 | 2019-05-14 |
1023574183 | Quality Lives Assisted Living LLC | Clinic/Center | 226 Pauline St, Greenville, MS 38701-7012 | 2019-02-13 |
1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
1265955959 | Senior Empowerment Center, LLC | Clinic/Center | 2524 E Alexander St Ste B, Greenville, MS 38703-3330 | 2017-07-25 |
1750826327 | Hinds Street Baptist Church | Clinic/Center | 448 N Hinds St, Greenville, MS 38701-2928 | 2017-01-05 |
1023492063 | Our House of Mayersville Adult Day Services | Clinic/Center | 564 Cypress Ln Apt 512, Greenville, MS 38701-7470 | 2015-07-18 |
1003294760 | Martha Montgomery | Clinic/Center | 112 W Faris Rd, Greenville, SC 29605-3061 | 2015-05-14 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38703 |
Please comment or provide details below to improve the information on SUPER NATURAL ADULT DAYCARE LLC.
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.