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ST JOHN'S ADULT DAY SERVICES, LLC
NPI 1760934046
Day Training, Developmentally Disabled Services in Indianola, MS

Active since November 02, 2016
517 E BAKER ST, INDIANOLA, MS 38751(662) 647-1766 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St John's Adult Day Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JOHN'S ADULT DAY SERVICES, LLC (NPI 1760934046) is a healthcare organization registered as a day training, developmentally disabled services in Indianola, Mississippi and active in the NPI registry since November 2016. The organization lists Willie Bradford, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1760934046
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameST JOHN'S ADULT DAY SERVICES, LLC
Location Address517 E BAKER STIndianola, MS 38751-2503
Mailing Address517 E Baker StIndianola, MS 38751-2503 · (662) 647-1766
Phone(662) 647-1766
Organization SubpartNo
Authorized OfficialWillie BradfordManaging Director · (662) 647-1766
Enumeration DateNovember 2, 2016
✔ NPI 1760934046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
517 E BAKER ST, Indianola, MS 38751
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. JOHN'S RESPITE CARE SERVICES, LLC
Respite Care
517 E BAKER ST
INDIANOLA, MS 38751
Sunflower County (662) 647-1766
ST JOHN'S PERSONAL CARE SERVICES LLC
In Home Supportive Care
517 E BAKER ST
INDIANOLA, MS 38751
Sunflower County (662) 647-1766
ST. JOHN'S PERSONAL CARE SERVICES, LLC
In Home Supportive Care
517 E BAKER ST
INDIANOLA, MS 38751
Sunflower County (166) 264-7766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St John's Adult Day Services, LLC's NPI number?

The NPI number for St John's Adult Day Services, LLC is 1760934046. It was assigned to this organization in the NPPES registry on November 2, 2016.

Where is St John's Adult Day Services, LLC located?

St John's Adult Day Services, LLC is located at 517 E Baker St, Indianola, MS 38751. The listed phone number is (662) 647-1766.

What is St John's Adult Day Services, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for St John's Adult Day Services, LLC was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.