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REACHING OUR COMMUNITY YOUTH AND ADULT DAYCARE NPI 1649643578


NPI Information

NPI: 1649643578
Provider Name: REACHING OUR COMMUNITY YOUTH AND ADULT DAYCARE

Doing Business As: REACHING OUR COMMUNITY ADULT DAYCARE, LLC

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
469 E NORTHSIDE DR
CLINTON, MS
ZIP 39056
Phone: (601) 488-4765
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REACHING OUR COMMUNITY YOUTH AND ADULT DAYCARE is an adult day care clinic center in Clinton, MS. REACHING OUR COMMUNITY YOUTH AND ADULT DAYCARE NPI is 1649643578. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Reaching Our Community Adult Daycare, Llc.

The provider's business location address is:

469 E NORTHSIDE DR
CLINTON, MS
ZIP 39056-467
Phone: (601) 488-4765
Fax: (601) 488-4778

The provider's authorized official is Darron Banks .
The authorized official title is President/ceo and has the following contact phone number (601) 624-4239.

The enumeration date for this NPI number is 10/30/2015 and was last updated on 6/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WN0003XRegistered NurseNeonatal, Low-RiskNo
2347B00000XBusNo
3261QA0600XClinic/CenterAdult Day CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105386051MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.