Organization Active NPI

Blest Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Florissant, MO
National Provider Identifier
1508290461
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BLEST ADULT DAY CARE LLC
Practice address
500 Greenway Manor Drive
Florissant, MO 63033
Phone
(314) 838-4707
Fax
(314) 838-4707
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Mr. Godfrey Kamanda Gakure
Title
Director
Phone
(636) 293-6223

Specialties & licenses 1

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

Addresses

Primary practice location

500 Greenway Manor Drive
Florissant, MO 63033

Mailing address

500 Greenway Manor Dr
Florissant, MO 63031
Phone (314) 838-4707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1508290461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GREENWAY MANOR DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63031",
            "telephone_number": "314-838-4707",
            "fax_number": "314-838-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GREENWAY MANOR DRIVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63033",
            "telephone_number": "314-838-4707",
            "fax_number": "314-838-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEST ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "GAKURE",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_middle_name": "KAMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "636-293-6223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "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 Aug 28, 2013; 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.