Individual provider Active NPI

Antuan Diltz

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1013865997
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Practice address
8616 Newby St
Saint Louis, MO 63147-1921
Phone
(314) 249-2642
NPI assigned
Mar 18, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MO Primary

Addresses

Primary practice location

8616 Newby St
Saint Louis, MO 63147-1921

Mailing address

8616 Newby St
Saint Louis, MO 63147-1921
Phone (314) 249-2642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Veterans Healthcare Services LLC CurrentSince Nov 30, 2025 Accepting new patients
Two Angel Home Health Services Past Accepting new patients

Locations

8616 Newby St
Saint Louis, MO 63147
Phone (314) 249-2642

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1013865997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 NEWBY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471921",
            "telephone_number": "314-249-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 NEWBY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471921",
            "telephone_number": "314-249-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILTZ",
        "first_name": "ANTUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.