LIFE CHANGING ADULT DAYCARE (NPI# 1659737286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659737286 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGING ADULT DAYCARE |
| Practice Address |
305 Birch Ave Indianola MS 38751-2107 |
| Mailing Address |
Po Box 53 2110 Kinlock Road Indianola MS 38751-0053 |
| Practice Telephone | 6622073645 |
| Mailing Telephone | 6622073645 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | MRS. PAMELA LORRAINE RANDLE (OWNER) |
| Authorized Official Telephone | 6622073645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
305 BIRCH AVE |
| City | INDIANOLA |
| State | MS |
| Zip Code | 38751-2107 |
| 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 | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048650 | Eppsinstituteforhealthyfamilyandcommunityliving,llc | Case Manager/Care Coordinator | 501 W County Line Rd, Tougaloo, MS 39174-9606 | 2020-03-16 |
| 1053945717 | Shannon Gautier | Case Manager/Care Coordinator | 209 Huntington Hill Dr, Clinton, MS 39056-6322 | 2020-03-02 |
| 1982262101 | Timothy Cook | Case Manager/Care Coordinator | 604 Highway 80 W Ste Roffice2, Clinton, MS 39056-4108 | 2019-06-03 |
| 1013478643 | Makeshia Warden | Case Manager/Care Coordinator | 655 Pine Ln, Jackson, MS 39212-3563 | 2019-03-27 |
| 1053809053 | Natasha W Tyler | Case Manager/Care Coordinator | 5615 Brentwood Dr, Jackson, MS 39211-4233 | 2018-04-25 |
| 1124526322 | Khalihah Ellis | Case Manager/Care Coordinator | 980 Fairwood Dr, Grenada, MS 38901-3609 | 2018-01-23 |
| 1376083204 | Sharon Harris | Case Manager/Care Coordinator | 138 Kaye Dr, Columbus, MS 39702-7880 | 2017-02-25 |
| 1982056651 | Barbara Cox | Case Manager/Care Coordinator | 341 E Main St Ste A-1, Tupelo, MS 38804-4025 | 2016-07-06 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| 1225413966 | Combined Personal Care Services | Case Manager/Care Coordinator | 5260 Cedar Park Dr Ste A, Jackson, MS 39206-4131 | 2015-07-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIFE CHANGING ADULT DAYCARE.
| 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.