Organization Active NPI

Great Day Adult Daycare

  • PACE Provider Organization
  • Saint Louis, MO
National Provider Identifier
1124358114
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
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 CHURCHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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)CodeLicenseStatePrimary
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 Former legal business name

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.

Verify at the official NPI Registry.