Organization Active NPI

Family United Adult Day Center, LLC

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1346627106
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FAMILY UNITED ADULT DAY CENTER, LLC
Practice address
12444 Lusher Road
Saint Louis, MO 63138
Phone
(314) 716-3100
Fax
(314) 949-9998
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Marlos Reynolds
Title
Owner
Phone
(314) 716-3100

Specialties & licenses 1

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

Addresses

Primary practice location

12444 Lusher Road
Saint Louis, MO 63138

Mailing address

12444 Lusher Rd
Saint Louis, MO 63138-1456
Phone (314) 716-3100

National Provider Directory

National Provider Directory

Locations

12444 Lusher Rd
Saint Louis, MO 63138
Phone (314) 741-3535

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1346627106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 LUSHER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381456",
            "telephone_number": "314-716-3100",
            "fax_number": "314-949-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 LUSHER ROAD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63138",
            "telephone_number": "314-716-3100",
            "fax_number": "314-949-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY UNITED ADULT DAY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-716-3100"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.