P Central LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

709 Issued in MO

Legal business name

P CENTRAL LLC

Practice address

716 North Compton Avenue
St. Louis, MO 63103

Phone

(314) 535-5800

Fax

(314) 535-5801

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By 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

Ms. Jean McClendon

Title

Member

Phone

(314) 535-5800

Specialties & licenses 1

Addresses

Other names 1

• Friends-A Meeting Place Other name

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1285833053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6371",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622026371",
            "telephone_number": "618-271-7786",
            "fax_number": "618-222-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 NORTH COMPTON AVENUE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63103",
            "telephone_number": "314-535-5800",
            "fax_number": "314-535-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-535-5800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MO",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friends-A Meeting Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Care Home Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Care Home Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.