WISDOM ADULT DAY CENTER (NPI# 1497194831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497194831 |
| Entity Type | Organization |
| Organization Name | WISDOM ADULT DAY CENTER |
| Practice Address |
162 T M Jones Hwy Boyle MS 38730-2005 |
| Practice Telephone | 6625454904 |
| Practice Fax Number | 6625454902 |
| Mailing Telephone | 6625454904 |
| Mailing Fax Number | 6625454902 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | MRS. KIMETRIA M PARKS (ADMINISTRATOR) |
| Authorized Official Telephone | 6625454904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
162 T M JONES HWY |
| City | BOYLE |
| State | MS |
| Zip Code | 38730-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740626290 | Yolanda H. Jackson | PACE Provider Organization | 512 Thomas St., Boyle, MS 38730 | 2013-05-10 |
| 1124405840 | Willie Mae Clerk Adult Day Care,llc | Clinic/Center | 151 Gaines Hwy, Boyle, MS 38730-9512 | 2015-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124405840 | Willie Mae Clerk Adult Day Care,llc | Clinic/Center | 151 Gaines Hwy, Boyle, MS 38730-9512 | 2015-05-01 |
| 1740626290 | Yolanda H. Jackson | PACE Provider Organization | 512 Thomas St., Boyle, MS 38730 | 2013-05-10 |
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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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.