Love Smiling Faces Adult Day Care, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

1010 Issued in MO

Legal business name

LOVE SMILING FACES ADULT DAY CARE, LLC

Practice address

9738 Lackland Rd
Overland, MO 63114-3424

Phone

(314) 276-3399

Fax

(314) 291-0797

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Denise Smith

Title

Owner/Administrator

Phone

(314) 276-3399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1144595588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9738 LACKLAND RD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631143424",
            "telephone_number": "314-276-3399",
            "fax_number": "314-291-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 LACKLAND RD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631143424",
            "telephone_number": "314-276-3399",
            "fax_number": "314-291-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE SMILING FACES ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "314-276-3399",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MO",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Overland, MO
• Providers in Overland, MO by specialty
• PACE Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.