Active NPI
Happy Souls Adult Daycare
- Adult Day Care Clinic/Center
- Florissant, MO
National Provider Identifier
1093957706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- HAPPY SOULS ADULT DAYCARE
- Practice address
- 11220 W Florissant Ave # 192
Florissant, MO 63033-6741 - Phone
- (314) 482-7153
- Fax
- (314) 529-3428
- NPI assigned
- Mar 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nichelle Womack
- Title
- Owner
- Phone
- (314) 482-7153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
11220 W Florissant Ave # 192
Florissant, MO 63033-6741
Mailing address
11220 W Florissant Ave # 192
Florissant, MO 63033-6741
Phone (314) 482-7153
National Provider Directory
National Provider DirectoryLocations
11220 West Florissant Ave
#192
Florissant, MO 63033
Phone (314) 219-4111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238025600000",
"number": "1093957706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11220 W FLORISSANT AVE # 192",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336741",
"telephone_number": "314-482-7153",
"fax_number": "314-529-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11220 W FLORISSANT AVE # 192",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336741",
"telephone_number": "314-482-7153",
"fax_number": "314-529-3428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAPPY SOULS ADULT DAYCARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-26",
"last_updated": "2009-03-26",
"status": "A",
"authorized_official_last_name": "WOMACK",
"authorized_official_first_name": "NICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-482-7153"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.