Organization Active NPI

TR Adult Care and Recreation Center/in Home Service

  • Respite Care
  • Saint Louis, MO
National Provider Identifier
1194953968
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
TR ADULT CARE AND RECREATION CENTER/IN HOME SERVICE
Practice address
1628 N 14TH St
Saint Louis, MO 63106-4107
Phone
(314) 436-7447
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Mrs. Jimmie L Mann
Title
Manager
Phone
(314) 436-7447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

1628 N 14TH St
Saint Louis, MO 63106-4107

Mailing address

1628 N 14TH St
Saint Louis, MO 63106-4107

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1194953968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 N 14TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631064107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 N 14TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631064107",
            "telephone_number": "314-436-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TR ADULT CARE AND RECREATION CENTER/IN HOME SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-436-7447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 30, 2009; 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.