ELISE'S PLACE ADC (NPI# 1194252494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194252494 |
| Entity Type | Organization |
| Organization Name | ELISE'S PLACE ADC |
| Practice Address |
924 Broadmoor Dr Indianola MS 38751-3608 |
| Practice Telephone | 6622079842 |
| Mailing Telephone | 16622079842 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |
| Authorized Official Name | MRS. JACQUELINE HANNAH (DIRECTOR) |
| Authorized Official Telephone | 6622079842 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
MS | Ambulatory Health Care Facilities |
| Street Address |
924 BROADMOOR DR |
| City | INDIANOLA |
| State | MS |
| Zip Code | 38751-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447471 | Jacqueline Hannah | Clinic/Center | 924 Broadmoor Dr, Indianola, MS 38751-3608 | 2015-05-26 |
| 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 | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781253 | Greater Hearts Adult Daycare | Clinic/Center | 124 Curtis Street, Indianola, MS 38751 | 2017-10-23 |
| 1528447471 | Jacqueline Hannah | Clinic/Center | 924 Broadmoor Dr, Indianola, MS 38751-3608 | 2015-05-26 |
| 1992069231 | Fit4me Adult Day Care | Clinic/Center | 500 Sunflower Ave, Indianola, MS 38751-2320 | 2012-07-02 |
| 1558769927 | Just Like Home Adult Day Care LLC | Clinic/Center | 216 Front Street Ext, Indianola, MS 38751-2861 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662626 | Hair Rehab | Clinic/Center | 313 Holland St, Anguilla, MS 38721-3872 | 2020-09-04 |
| 1326688185 | Brittney Debose | Clinic/Center | 16016 Lemoyne Blvd Apt 912, Biloxi, MS 39532-5186 | 2020-01-09 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1215575675 | The Abigayle Adult Day Care | Clinic/Center | 205 Industrial Cv, Ridgeland, MS 39157-2715 | 2019-12-17 |
| 1053977298 | Cal-wal Southern, LLC | Clinic/Center | 114 W Walker St, Greenville, MS 38701-4755 | 2019-05-14 |
| 1083171334 | Beverly Forrest-butts | Clinic/Center | 407 Nw Depot St, Durant, MS 39063-3705 | 2019-02-22 |
| 1023574183 | Quality Lives Assisted Living LLC | Clinic/Center | 226 Pauline St, Greenville, MS 38701-7012 | 2019-02-13 |
| 1619431210 | Deborah D Gibbs | Clinic/Center | 1403 S Broadway, Shelby, MS 38774 | 2019-01-28 |
| 1346712023 | Faith and Hope Adult Daycare | Clinic/Center | 737 N State St, Jackson, MS 39202-3006 | 2018-12-19 |
| 1013488923 | Covenant Adult Day Care of Tunica | Clinic/Center | 1041 Highway 61 S Ste 3, Tunica, MS 38676-9130 | 2018-12-17 |
| 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.