Premium Adult Day Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PREMIUM ADULT DAY CENTER LLC

Practice address

104 Jungermann Rd
Saint Peters, MO 63376-1608

Phone

(636) 244-2112

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvette Pirtle

Title

Director

Phone

(636) 244-2112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1619488632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 JUNGERMANN RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JUNGERMANN RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761608",
            "telephone_number": "636-244-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM ADULT DAY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "PIRTLE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "636-244-2112"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Prater, PHARM.D
• Danielle Marie Pratt, PHARMD
• Precision Plastic Surgery, PC St. Peters Office
• Preferred Family Healthcare, Inc. (Bridgeway Behavioral Health)
• Kayla Preiss
• Stephanie Marie Prinster, DPT
• Pro Pain LLC
• Pro Pain LLC
• Pro Pain LLC
• Kennay Lydia Lorene Proctor, M.S. CCC-SLP

• Adult Day Care Clinic/Center in Saint Peters, MO
• Providers in Saint Peters, 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 Oct 17, 2017; 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.