NPIMap

Organization Active NPI

Midwest Adult Daycare, Inc

  • Adult Day Care Clinic/Center
  • Hazelwood, MO
National Provider Identifier
1639422884
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1074 Issued in MO
Legal business name
MIDWEST ADULT DAYCARE, INC
Practice address
7207 N Lindbergh Blvd
Hazelwood, MO 63042-2086
Phone
(314) 731-1880
Fax
(314) 731-1966
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Mrs. Annette Saurberry
Title
Director
Phone
(314) 731-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1074 MO Primary

Addresses

Primary practice location

7207 N Lindbergh Blvd
Hazelwood, MO 63042-2086

Mailing address

7207 N Lindbergh Blvd
Hazelwood, MO 63042-2086
Phone (314) 731-1880

Other identifiers 2

IdentifierTypeStateIssuer
1861763047MedicaidMO
M264690108MedicaidMO

National Provider Directory

National Provider Directory

Locations

7207 N Lindbergh Blvd
Hazelwood, MO 63042
Phone (314) 731-1880

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1639422884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422086",
            "telephone_number": "314-731-1880",
            "fax_number": "314-731-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422086",
            "telephone_number": "314-731-1880",
            "fax_number": "314-731-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ADULT DAYCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "SAURBERRY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-731-1880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861763047",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M264690108",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.