Active NPI
Millennium Manor Adult Day Center LLC
- Home Health Agency
- Saint Peters, MO
National Provider Identifier
1417829136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MILLENNIUM MANOR ADULT DAY CENTER LLC
- Practice address
- 147 Berry Manor Cir
Saint Peters, MO 63376-5392 - Phone
- (314) 933-0415
- NPI assigned
- Sep 22, 2025
- Last updated
- Sep 22, 2025
- Organization subpart
- Yes
- Parent organization
- MILLENNIUM MANOR ADULT DAY CENTER LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Lateike Williams
- Title
- Ceo
- Phone
- (314) 933-0415
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Preferred Provider Organization | 305R00000X | |||
| Point of Service | 305S00000X |
Addresses
Primary practice location
147 Berry Manor Cir
Saint Peters, MO 63376-5392
Mailing address
147 Berry Manor Cir
Saint Peters, MO 63376-5392
Phone (314) 933-0415
National Provider Directory
National Provider Directory- Part of
- Millennium Manor Adult Day Center LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1417829136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 BERRY MANOR CIR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765392",
"telephone_number": "314-933-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 BERRY MANOR CIR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765392",
"telephone_number": "314-933-0415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM MANOR ADULT DAY CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MILLENNIUM MANOR ADULT DAY CENTER LLC",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "LATEIKE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-933-0415"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.