JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER
NPI 1053842815
Clinic/Center - Adult Day Care in Port Arthur, TX

Active since March 23, 2017
2349 9TH AVE, SUITE B, C, & D, PORT ARTHUR, TX 77642(409) 365-4798 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adult Day Care

About JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER

This page provides the complete NPI Profile along with additional information for Jefferson County Day Activity & Health Service Center, a provider established in Port Arthur, Texas operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1053842815 assigned on March 2017. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Lakeisha Shepherd (Director)

NPI
1053842815 Verify this NPI
Provider Name
JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER
Entity Type
Organization
Location Address
2349 9TH AVE SUITE B, C, & D PORT ARTHUR, TX 77642
Location Phone
(409) 365-4798
Mailing Address
2349 9TH AVE SUITE B, C, & D PORT ARTHUR, TX 77642
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2017
Last Update Date
03-23-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
2311Z00000XNursing & Custodial Care Facilities

Custodial Care Facility

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAKEISHA SHEPHERD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(409) 365-4798

Reviews for JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Contractor
2349 9TH AVE, SUITE B
PORT ARTHUR, TX 77642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053842815, enumerated as an "organization" on March 23, 2017.

The provider is located at 2349 9TH AVE SUITE B, C, & D PORT ARTHUR, TX 77642 and the phone number is (409) 365-4798.

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.