Cambridge Adult Day Center Washington LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1213 Issued in MO

Legal business name

CAMBRIDGE ADULT DAY CENTER WASHINGTON LLC

Practice address

2200 Washington Ave
Saint Louis, MO 63103-1522

Phone

(314) 932-1449

Fax

(314) 932-1455

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Laura Flynn

Title

Manager

Phone

(314) 932-1449

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1023414893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WASHINGTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031522",
            "telephone_number": "314-932-1449",
            "fax_number": "314-932-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WASHINGTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031522",
            "telephone_number": "314-932-1449",
            "fax_number": "314-932-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE ADULT DAY CENTER WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-932-1449",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023414893",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760760219",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Angelo Calotta, MD
• Ashley Dianne Calvert, NP
• Caroline Colgrove Calvert, NP
• Cheryl Lynn Calvert, RN
• Jeffrey Calvin, MD
• Cambridge Adult Day Services LLC
• Cambridge Audlt Day Center Michigan LLC
• Furkan Camci, MD
• Abigail Christine Camden, CRNA
• Ryan Eugene Camden, PHAM.D.

• Adult Day Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.