Organization Active NPI

Delta Center for Independent Living Inc.

  • Specialist
  • Saint Charles, MO
National Provider Identifier
1215976618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DELTA CENTER FOR INDEPENDENT LIVING INC.
Practice address
5933 S Highway 94
Suite 107
Saint Charles, MO 63304-5610
Phone
(636) 926-8761
Fax
(636) 447-0341
NPI assigned
Jun 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Murphy
Title
Executive Director
Phone
(636) 926-8761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

5933 S Highway 94
Suite 107
Saint Charles, MO 63304-5610

Mailing address

5933 S Highway 94
Suite 107
Saint Charles, MO 63304-5610
Phone (636) 926-8761

National Provider Directory

National Provider Directory

Locations

5933 S Highway 94
Ste 107
Weldon Spring, MO 63304
Phone (636) 926-8761

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215976618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 S HIGHWAY 94",
            "address_2": "SUITE 107",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633045610",
            "telephone_number": "636-926-8761",
            "fax_number": "636-447-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 S HIGHWAY 94",
            "address_2": "SUITE 107",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633045610",
            "telephone_number": "636-926-8761",
            "fax_number": "636-447-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CENTER FOR INDEPENDENT LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-926-8761"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.