Organization Active NPI

Mca Senior Adult Day Center

  • Adult Day Care Clinic/Center
  • Saint Anne, IL
National Provider Identifier
1164104352
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MCA SENIOR ADULT DAY CENTER
Practice address
943 Gerald Ave
Saint Anne, IL 60964-5199
Phone
(779) 701-7764
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Ms. Alicia Marie Kleinert
Title
Executive Director
Phone
(779) 701-7764

Specialties & licenses 1

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

Addresses

Primary practice location

943 Gerald Ave
Saint Anne, IL 60964-5199

Mailing address

943 Gerald Ave
Saint Anne, IL 60964-5199
Phone (779) 701-7764

Other names 1

  • MCA Senior Adult Day Center Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1164104352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 GERALD AVE",
            "city": "SAINT ANNE",
            "state": "IL",
            "postal_code": "609645199",
            "telephone_number": "779-701-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 GERALD AVE",
            "city": "SAINT ANNE",
            "state": "IL",
            "postal_code": "609645199",
            "telephone_number": "779-701-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCA SENIOR ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "KLEINERT",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "779-701-7764",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCA Senior Adult Day Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Anne, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.