Healthcare Provider Details

I. General information

NPI: 1114616851
Provider Name (Legal Business Name): MIDAS ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 US HWY 31 SOUTH
ATHENS AL
35611
US

IV. Provider business mailing address

1216 US HWY 31 SOUTH
ATHENS AL
35611
US

V. Phone/Fax

Practice location:
  • Phone: 256-797-9998
  • Fax:
Mailing address:
  • Phone: 256-797-9998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CANDICE TAPSCOTT
Title or Position: HUMAN RESOURCES
Credential:
Phone: 256-797-9998