Active NPI
Great Day Adult Daycare
- PACE Provider Organization
- Saint Louis, MO
National Provider Identifier
1124358114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- GREAT DAY ADULT DAYCARE
- Practice address
- 7091 Olive Blvd
Saint Louis, MO 63130-2347 - Phone
- (314) 726-2009
- Fax
- (314) 726-1530
- NPI assigned
- Jan 13, 2010
- Organization subpart
- Yes
- Parent organization
- VICTORY CHRISTIAN OUTREACH CHURCH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Doris Virginia Rice, REGISTERED NURSE
- Title
- Executive Director
- Phone
- (314) 726-2009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
7091 Olive Blvd
Saint Louis, MO 63130-2347
Mailing address
7091 Olive Blvd
Saint Louis, MO 63130-2347
Phone (314) 726-2009
Other names 1
- Victory Christian Outreach Church
National Provider Directory
National Provider Directory- Part of
- Great Day Adult Daycare
Locations
7091 Olive Blvd
Saint Louis, MO 63130
Phone (314) 726-2009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263340800000",
"number": "1124358114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7091 OLIVE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631302347",
"telephone_number": "314-726-2009",
"fax_number": "314-726-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7091 OLIVE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631302347",
"telephone_number": "314-726-2009",
"fax_number": "314-726-1530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT DAY ADULT DAYCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VICTORY CHRISTIAN OUTREACH CHURCH",
"enumeration_date": "2010-01-13",
"last_updated": "2010-01-13",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "DORIS",
"authorized_official_middle_name": "VIRGINIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "314-726-2009",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Victory Christian Outreach Church",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Jan 13, 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.