Organization Active NPI

Pauline'S Place Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1508235680
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1266 Issued in MO
Legal business name
PAULINE'S PLACE ADULT DAY CARE, LLC
Practice address
8460 Watson Rd
130
Saint Louis, MO 63119-5247
Phone
(314) 438-7100
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Betty Jones
Title
Program Manager
Phone
(314) 438-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1266 MO Primary

Addresses

Primary practice location

8460 Watson Rd
130
Saint Louis, MO 63119-5247

Mailing address

8460 Watson Rd
130
Saint Louis, MO 63119-5247
Phone (314) 438-7100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1508235680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 WATSON RD",
            "address_2": "130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195247",
            "telephone_number": "314-438-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 WATSON RD",
            "address_2": "130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195247",
            "telephone_number": "314-438-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINE'S PLACE ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "314-438-7100"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1266",
            "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 Sep 18, 2015; 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.