St. Elizabeth Adult Day Care Center, Inc.
Organization Active NPI Adult Day Care Clinic/Center · Jennings, MO
NPI 1013046937 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013046937
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- License
- 578 (MO)
- Legal business name
- ST. ELIZABETH ADULT DAY CARE CENTER, INC.
- Practice address
- 2142 Switzer Ave
Jennings, MO 63136-3842 - Phone
- (314) 867-6511
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- John Antonio Miller, C.PP.S. (SISTER)
- Title
- Administrator
- Phone
- (314) 772-5107
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- St Elizabeth Adult Day Care Center Inc
Locations
2142 Switzer Ave
Saint Louis, MO 63136
Phone (314) 867-6511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 578 | MO | Yes |
Addresses
Primary practice location
2142 Switzer Ave
Jennings, MO 63136-3842
Mailing address
3401 Arsenal St
Saint Louis, MO 63118-2001
Phone (314) 772-5107
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002044 | Other | MO | SSBG ID |
Other names
- St Elizabeth North Adult Day Care Center
Other providers in Jennings, MO
- Amanda Radtke
- Hunter Ragan
- Ruths Kingdom IHS LLC
- Dionne Smith
- Aonyea Spinks-Boykins
- Chandler Austin Stephens
- Strategic Home Health Care
- Strategic Home Health Care - in Home Services
- Avoree Switzer
- The Community Counseling & Housing Services
All providers in Jennings, MO · Adult Day Care Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.