The Outreach Center of Christ the Savior

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE OUTREACH CENTER OF CHRIST THE SAVIOR

Practice address

3904 Delmar Blvd
Saint Louis, MO 63108-3502

Phone

(314) 371-9999

Fax

(314) 371-0466

NPI assigned

Feb 21, 2017

Organization subpart

Yes

Parent organization

HAPPY SPIRIT ADULT DAY CAREAs reported in NPPES

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

Authorized official

Name

Ms. Shelly Ann Gilmore, DIRECTOR/MINISTER

Title

Minister/ Director

Phone

(314) 371-9999

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Happy Spirit Day Program Doing business as

Tax ID family

The Outreach Center of Christ the Savior2 organizations share this tax ID, including this one

Part of

The Outreach Center of Christ the Savior

Other organizations with this tax ID 1

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

• The Outreach Center of Christ the Savior

  • PACE Provider Organization
  • Saint Louis, MO
  • NPI 1881890671
  NPD tax ID

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1376082529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083502",
            "telephone_number": "314-371-9999",
            "fax_number": "314-371-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083502",
            "telephone_number": "314-371-9999",
            "fax_number": "314-371-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OUTREACH CENTER OF CHRIST THE SAVIOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAPPY SPIRIT ADULT DAY CARE",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MINISTER/ DIRECTOR",
        "authorized_official_telephone_number": "314-371-9999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DIRECTOR/MINISTER"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1342",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295721401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Spirit Day Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.