Organization Active NPI

Millennium Manor Adult Day Center LLC

  • Home Health Agency
  • Saint Peters, MO
National Provider Identifier
1417829136
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MILLENNIUM MANOR ADULT DAY CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.