NPI Code Details Logo

NPI 1356995625

NPI 1356995625 : WELCOMING ARMS ADULT DAY SUPPORT CENTER, LLC : EMPORIA, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1356995625
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WELCOMING ARMS ADULT DAY SUPPORT CENTER, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/25/2019
-----------------------------------------------------
    Last Update Date     |    09/02/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    714 N MAIN ST 
-----------------------------------------------------
    City                 |    EMPORIA
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23847-1242
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    434-829-6511
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    714 N MAIN ST 
-----------------------------------------------------
    City                 |    EMPORIA
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23847-1242
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    434-829-6511
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     OLIVIA CENSERA MASON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    434-829-6511
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251C00000X
-----------------------------------------------------
    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.