Organization Active NPI

Golden Protection Adult Daycare 2 LLC

  • Adult Day Care Clinic/Center
  • Saint Charles, MO
National Provider Identifier
1215509674
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GOLDEN PROTECTION ADULT DAYCARE 2 LLC
Doing business as
Golden protection adult daycare 2 LLC
Practice address
508 Jefferson St
Saint Charles, MO 63301-2703
Phone
(314) 574-6884
NPI assigned
Jul 15, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Danielle Young
Title
Director
Phone
(314) 574-6884

Specialties & licenses 1

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

Addresses

Primary practice location

508 Jefferson St
Saint Charles, MO 63301-2703

Mailing address

1532 Lake CT
Saint Charles, MO 63303-2715
Phone (314) 574-6884

Other identifiers 1

IdentifierTypeStateIssuer
3145746884MedicaidMO

Other names 1

  • Golden protection adult daycare 2 LLC Doing business as

National Provider Directory

National Provider Directory

Locations

508 Jefferson St
Saint Charles, MO 63301
Phone (314) 946-3670

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1215509674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 LAKE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032715",
            "telephone_number": "314-574-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 JEFFERSON ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012703",
            "telephone_number": "314-574-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PROTECTION ADULT DAYCARE 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-574-6884"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145746884",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden protection adult daycare 2 LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.