Cambridge Audlt Day Center Michigan LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1048 Issued in MO

Legal business name

CAMBRIDGE AUDLT DAY CENTER MICHIGAN LLC

Practice address

4249 Michigan Ave
Saint Louis, MO 63111-1126

Phone

(314) 932-1221

Fax

(314) 932-1220

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

Christine Michelle Zerjav

Title

Executive Director

Phone

(314) 932-1221

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1609126838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 MICHIGAN AVENUE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631111126",
            "telephone_number": "314-932-1221",
            "fax_number": "314-932-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 MICHIGAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111126",
            "telephone_number": "314-932-1221",
            "fax_number": "314-932-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE AUDLT DAY CENTER MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "ZERJAV",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-932-1221"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1048",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Colgrove Calvert, NP
• Cheryl Lynn Calvert, RN
• Jeffrey Calvin, MD
• Cambridge Adult Day Center Washington LLC
• Cambridge Adult Day Services LLC
• Furkan Camci, MD
• Abigail Christine Camden, CRNA
• Ryan Eugene Camden, PHAM.D.
• Olivia Camel
• Camela Medical Equipment Co

• Adult Day Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.