Spirited Living Adult Daycare LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SPIRITED LIVING ADULT DAYCARE LLC

Practice address

2075 Walton Rd
Overland, MO 63114-5805

Phone

(314) 942-5234

Fax

(314) 942-5239

NPI assigned

Dec 19, 2012

Last updated

Dec 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael L Brady

Title

Manager

Phone

(314) 994-9070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1275879298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR",
            "address_2": "SUITE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464100",
            "telephone_number": "314-994-9070",
            "fax_number": "314-994-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 WALTON RD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145805",
            "telephone_number": "314-942-5234",
            "fax_number": "314-942-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITED LIVING ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-994-9070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Smith, RBT
• Rachelle D Smith, PHD, LPC
• Shazmine Smith, RBT
• Michael L Spearman, M.D.
• Specialty Home Healthcare Inc.
• SSM Depaul Medical Group, Inc. (Family Medicine at Overland)
• St Elizabeth Adult Day Care Center
• Star Consumer Directed Services St Louis, LLC
• Alana M. Starr, D.C.
• State of Missouri (North West Habilitation Center)

• Adult Day Care Clinic/Center in Overland, MO
• Providers in Overland, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.