JEFFERSON COUNTY DAY ACTIVITY & HEALTH SERVICE CENTER
NPI 1053842815
Clinic/Center - Adult Day Care in Port Arthur, TX
- 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
- Code Navigator
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) |
|---|---|---|---|---|
| 1 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
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.