NPIMap

Organization Active NPI

St Elizabeth Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Overland, MO
National Provider Identifier
1619006467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
687 Issued in MO
Legal business name
ST ELIZABETH ADULT DAY CARE CENTER
Practice address
2543 Hood Ave
Overland, MO 63114-3259
Phone
(314) 890-0005
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Antonio Miller, C.PP.S. (SISTER)
Title
Administrator
Phone
(314) 772-5107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 687 MO Primary

Addresses

Primary practice location

2543 Hood Ave
Overland, MO 63114-3259

Mailing address

3401 Arsenal St
Saint Louis, MO 63118-2001
Phone (314) 772-5107

Other names 1

  • St Elizabeth Adult Day Care Center of Overland Other name

National Provider Directory

National Provider Directory
Tax ID family
St Elizabeth Adult Day Care Center Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619006467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ARSENAL ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631182001",
            "telephone_number": "314-772-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 HOOD AVE",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631143259",
            "telephone_number": "314-890-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-772-5107",
        "authorized_official_credential": "C.PP.S. (SISTER)"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth Adult Day Care Center of Overland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.