ADULT DAYCARE HEALTH SERVICES – NPI #1992191084
Clinic/Center

ADULT DAYCARE HEALTH SERVICES is an AHC clinic located in DE KALB, MS. NPPES has assigned the NPI number 1992191084 to ADULT DAYCARE HEALTH SERVICES on April 15, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADULT DAYCARE HEALTH SERVICES” is a dba name, the actual legal business name for this organization is EMMANUEL RIDGE OF DEKALB INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADULT DAYCARE HEALTH SERVICES below.

NPI Profile for
EMMANUEL RIDGE OF DEKALB INC

NPI Number
1992191084
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EMMANUEL RIDGE OF DEKALB INC
Doing Business As (dba): ADULT DAYCARE HEALTH SERVICES
Primary location
14632 HWY 39N/16E
DE KALB, MS 39328
Phone: (601) 927-9839 Fax:
Mailing address
PO BOX 1522
FLORENCE, MS 39073-1522
Phone: (601) 927-9839 Fax: (769) 251-0257
Organization Subpart
No
Authorized Official
BEATRICE EZEM
CEO
Phone: (601) 927-9839
Updated
Identifiers

Identifiers for ADULT DAYCARE HEALTH SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS08752218
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.