Home Away From Home Adult Daycare

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HOME AWAY FROM HOME ADULT DAYCARE

Practice address

5535 Delmar Blvd
Saint Louis, MO 63112-3005

Phone

(314) 265-2096

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Andrea Jones

Title

Owner

Phone

(314) 713-8222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1104036003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32086",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631328086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123005",
            "telephone_number": "314-265-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-713-8222"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J Holzum, M.D.
• Dorothy Nicole Holzum, PHARMD
• Frank Joseph Homa, RPH
• Joseph P Homan, M.D.
• Home Away From Home Adult Day Program, LLC
• Home Away From Home in Home Services LLC
• Home Care Equipment, Inc.
• Home Care Mo, Inc.
• Home Care Services of Metropolitan St Louis LTD
• Home Doctors Medical Associates

• Adult Care Home Facility in Saint Louis, MO
• Providers in Saint Louis, 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 May 29, 2008; 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.