Active NPI
Golden Protection Adult Daycare 2 LLC
- Adult Day Care Clinic/Center
- Saint Charles, MO
National Provider Identifier
1215509674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3145746884 | Medicaid | MO |
Other names 1
- Golden protection adult daycare 2 LLC
National Provider Directory
National Provider DirectoryLocations
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.