ST JOHN'S ADULT DAY SERVICES, LLC (NPI# 1760934046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760934046 |
| Entity Type | Organization |
| Organization Name | ST JOHN'S ADULT DAY SERVICES, LLC |
| Practice Address |
517 E Baker St Indianola MS 38751-2503 |
| Practice Telephone | 6626471766 |
| Mailing Telephone | 6626471766 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | MR. WILLIE BRADFORD JR. (MANAGING DIRECTOR) |
| Authorized Official Telephone | 6626471766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
517 E BAKER ST |
| City | INDIANOLA |
| State | MS |
| Zip Code | 38751-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750766697 | St. John's Personal Care Services, LLC | In Home Supportive Care | 517 E Baker St, Indianola, MS 38751-2503 | 2015-07-21 |
| 1477920999 | St John's Personal Care Services LLC | In Home Supportive Care | 517 E Baker St, Indianola, MS 38751-2503 | 2015-09-01 |
| 1275900813 | St. John's Respite Care Services, LLC | Respite Care | 517 E Baker St, Indianola, MS 38751-2503 | 2015-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781253 | Greater Hearts Adult Daycare | Clinic/Center | 124 Curtis Street, Indianola, MS 38751 | 2017-10-23 |
| 1083139505 | Quality Family Care LLC | Nurse Practitioner | 310 Hwy 82 West, Suite D, Indianola, MS 38751 | 2017-08-05 |
| 1932641800 | Creative Image Personal Care Services LLC | Respite Care | 503 Hwy 82 East, Indianola, MS 38751 | 2016-11-09 |
| 1225580442 | St. John's Respite Care Services, LLC | In Home Supportive Care | 517 East Street, Indianola, MS 38751 | 2016-11-04 |
| 1992163588 | Rona Kaye Huey | Nurse Practitioner | 310 Highway 82 W Ste D, Indianola, MS 38751 | 2016-02-10 |
| 1952641201 | Julia R. Hill, Dmd, Pa | Dentist | 104 W. Gresham St., Indianola, MS 38751 | 2013-02-25 |
| 1649463977 | Kenneth C Beal Jr. | Dentist | 913 B.b. King Road, Indianola, MS 38751 | 2007-08-21 |
| 1922136688 | Lloyd Leon Patton Jr. | Pharmacist | 903 Highway 82 East, Building G, Indianola, MS 38751 | 2007-03-02 |
| 1770623506 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 110 East Baker Street, Indianola, MS 38751 | 2007-02-08 |
| 1548311525 | Quality In Home Services Inc | Homemaker | 108 Martin Luther King, Indianola, MS 38751 | 2007-01-16 |
| Find all providers in zip 38751 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215463203 | Delta Care Hope Foundation | Day Training, Developmentally Disabled Services | 408 Highway 82 W, Indianola, MS 38751-2031 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410562 | O'keefe Educational Media | Day Training, Developmentally Disabled Services | 700 Pass Rd, Gulfport, MS 39501-6443 | 2019-11-04 |
| 1033684766 | Wish Health Services | Day Training, Developmentally Disabled Services | 1520 29th Ave Ste 16, Gulfport, MS 39501-2843 | 2018-10-09 |
| 1235679523 | Doris C. Bridges | Day Training, Developmentally Disabled Services | 3928 Allen Dr, Jackson, MS 39212-5379 | 2017-03-06 |
| 1366995110 | Senior Services, LLC | Day Training, Developmentally Disabled Services | 21 Northtown Dr, Jackson, MS 39211-3016 | 2016-07-28 |
| 1225498595 | Sheila Parr | Day Training, Developmentally Disabled Services | 6870 Center St E, Horn Lake, MS 38637-1903 | 2016-03-01 |
| 1033574413 | New Beginnings Adult Daycare 2 LLC | Day Training, Developmentally Disabled Services | 235 69th Ave, Meridian, MS 39307-5671 | 2015-12-29 |
| 1891150074 | Rem Mississippi | Day Training, Developmentally Disabled Services | 250 Katherine Dr, Flowood, MS 39232-8801 | 2015-12-15 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1215305909 | Mississippi Christian Family Services Inc | Day Training, Developmentally Disabled Services | 117 Delta St, Rolling Fork, MS 39159-2266 | 2015-09-11 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| 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.