Organization Active NPI

Christian Faith Ctr Adult Health Daycare

  • Developmentally Disabled Services Day Training Agency
  • Saint Louis, MO
National Provider Identifier
1073718698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
622 Issued in MO
Legal business name
CHRISTIAN FAITH CTR ADULT HEALTH DAYCARE
Practice address
2003 Chambers Rd
Saint Louis, MO 63136-4307
Phone
(314) 867-6132
Fax
(314) 867-2107
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Michelle Bessie Walton, CMT
Title
Director of Adult Daycare
Phone
(314) 867-6132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 622 MO Primary

Addresses

Primary practice location

2003 Chambers Rd
Saint Louis, MO 63136-4307

Mailing address

2003 Chambers Rd
Saint Louis, MO 63136-4307
Phone (314) 867-6132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073718698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 CHAMBERS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364307",
            "telephone_number": "314-867-6132",
            "fax_number": "314-867-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 CHAMBERS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364307",
            "telephone_number": "314-867-6132",
            "fax_number": "314-867-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FAITH CTR ADULT HEALTH DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "BESSIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADULT DAYCARE",
        "authorized_official_telephone_number": "314-867-6132",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "622",
            "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 Aug 22, 2020; 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.