Celebration City Community Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CELEBRATION CITY COMMUNITY CENTER

Doing business as

Celebration City Community Center
same as above

Practice address

4130 E Lexington Ave
Saint Louis, MO 63115-3333

Phone

(314) 261-4348

Fax

(313) 449-1338

NPI assigned

Nov 25, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SAME AS ABOVEAs reported in NPPES

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

Authorized official

Name

Mr. Prientiss Thomas, BS THEOLOGY, D. DIVI

Title

Program Director

Phone

(314) 761-6132

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Celebration City Community Center Doing business as
• same as above Doing business as

Tax ID family

Celebration City Community Center2 organizations share this tax ID, including this one

Part of

Celebration City Community Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Celebration City Community Center

  dba Art of Kindness Consumer Directed Services

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1043858202
  NPD tax ID

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1346886488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 STONEY TERRACE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217783",
            "telephone_number": "314-761-6132",
            "fax_number": "314-449-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 E LEXINGTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631153333",
            "telephone_number": "314-261-4348",
            "fax_number": "313-449-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4126-4130 East Lexington Avenue",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "63115",
            "country_code": "US",
            "telephone_number": "314-261-4348",
            "fax_number": "314-449-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CELEBRATION CITY COMMUNITY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAME AS ABOVE",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PRIENTISS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "314-761-6132",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS THEOLOGY, D. DIVI"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebration City Community Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "same as above",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Peter Cejas, MD
• Nurfeta Cejvanovic, BA
• Melis Gokce Celdir, MD
• Aldijana Celebic
• Celebration City Community Center (Art of Kindness Consumer Directed Services)
• Joyous M Celestine
• Annabelle Cella, M.ED., BCBA, LBA
• Kim H Cella, MSW, LCSW
• Emily Cendrowski, MD
• Centene Company of Texas, L.P.

• Adult Day Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, 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 Nov 25, 2019; 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.