Organization Active NPI

Coricagroup Adult Daycare LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1356843486
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CORICAGROUP ADULT DAYCARE LLC
Practice address
2911 Olive St
Saint Louis, MO 63103-1337
Phone
(314) 309-6660
NPI assigned
Mar 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Erica Williams
Title
Director
Phone
(314) 309-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2911 Olive St
Saint Louis, MO 63103-1337

Mailing address

2722 Washington Ave
Saint Louis, MO 63103-1422

National Provider Directory

National Provider Directory

Locations

2722 Washington Ave
Saint Louis, MO 63103

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1356843486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 WASHINGTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031337",
            "telephone_number": "314-309-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORICAGROUP ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-309-6660"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 16, 2021; 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.