NPIMap

Organization Active NPI

Young in Spirit Adult Daycare, LLC

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1114220779
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
916 Issued in MO
Legal business name
YOUNG IN SPIRIT ADULT DAYCARE, LLC
Practice address
2639 Miami St
Saint Louis, MO 63118-3929
Phone
(314) 802-8384
Fax
(314) 802-8385
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Ms. Laura Lynn Bone, R,N,
Title
Owner/Program Director
Phone
(314) 802-8384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 916 MO Primary

Addresses

Primary practice location

2639 Miami St
Saint Louis, MO 63118-3929

Mailing address

2639 Miami St
Saint Louis, MO 63118-3929
Phone (314) 802-8384

Other identifiers 1

IdentifierTypeStateIssuer
296246002MedicaidMO

Other names 1

  • Young in Spirit Adult Day Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Young in Spirit Adult Day Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1114220779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 MIAMI ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183929",
            "telephone_number": "314-802-8384",
            "fax_number": "314-802-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 MIAMI ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183929",
            "telephone_number": "314-802-8384",
            "fax_number": "314-802-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG IN SPIRIT ADULT DAYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BONE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "314-802-8384",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R,N,"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296246002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young in Spirit Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 20, 2010; 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.