Equinox Adult Day Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

EQUINOX ADULT DAY CARE

Practice address

1602 Gravois Rd
High Ridge, MO 63049-2606

Phone

(314) 783-6700

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tisha Dillard, MBA

Title

Owner

Phone

(314) 783-6700

Specialties & licenses 1

Addresses

Other names 1

• Equinox Adult Day Care Other name

Locations

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1063254621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 WELLINGTON LN",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625834",
            "telephone_number": "314-783-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 GRAVOIS RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492606",
            "telephone_number": "314-783-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-783-6700",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equinox Adult Day Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dillon Plaza Family Medicine Group LC
• Julie Duncan, R.PH.
• Kristen Effan, LPC
• Amanda Ehlers
• Samuel Cooper Engemann, D.O.
• Martin Kevin Eresh, DDS
• Faithful Hands Home Care LLC (ameriCARE St Louis)
• Joshua Stephen Faller, PLPC
• Elizabeth Fernandez
• Kaitlyn Claire Finger, OD

• Adult Care Home Facility in High Ridge, MO
• Providers in High Ridge, MO by specialty
• Adult Care Home Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.