Active NPI
Jewel Adult Day Center LLC
- Adult Day Care Clinic/Center
- Florissant, MO
National Provider Identifier
1407319965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- JEWEL ADULT DAY CENTER LLC
- Practice address
- 407 Dunn Rd
Florissant, MO 63031-7930 - Phone
- (314) 971-6485
- NPI assigned
- Apr 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalynn Galloway
- Title
- Owner
- Phone
- (314) 971-6485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
407 Dunn Rd
Florissant, MO 63031-7930
Mailing address
407 Dunn Rd
Florissant, MO 63031-7930
National Provider Directory
National Provider DirectoryLocations
407 Dunn Rd
Florissant, MO 63031
Phone (314) 971-6485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1407319965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 DUNN RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630317930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 DUNN RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630317930",
"telephone_number": "314-971-6485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWEL ADULT DAY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "GALLOWAY",
"authorized_official_first_name": "NATALYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-971-6485"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.