Organization Active NPI

Ultimate Care Adult Day Care

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1578899852
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
LC0994486 Issued in MO
Legal business name
ULTIMATE CARE ADULT DAY CARE
Practice address
2905 N Kingshighway Blvd
Saint Louis, MO 63115-1618
Phone
(314) 802-7126
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Brenda S Ayuso
Title
Manager
Phone
(314) 802-7126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X LC0994486 MO Primary

Addresses

Primary practice location

2905 N Kingshighway Blvd
Saint Louis, MO 63115-1618

Mailing address

2905 N Kingshighway Blvd
Saint Louis, MO 63115-1618
Phone (314) 802-7126

National Provider Directory

National Provider Directory

Locations

2905 N Kingshighway Blvd
Saint Louis, MO 63115
Phone (314) 802-7126

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1578899852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151618",
            "telephone_number": "314-802-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 N KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151618",
            "telephone_number": "314-802-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "AYUSO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-802-7126"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "LC0994486",
            "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 Oct 21, 2009; 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.