Home Away From Home Adult Day Program, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

HOME AWAY FROM HOME ADULT DAY PROGRAM, LLC

Practice address

9516 Lackland Rd
Saint Louis, MO 63114-3603

Phone

(314) 827-2255

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Miss Danyielle Burks

Title

Director

Phone

(314) 827-2255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1639513468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417773",
            "telephone_number": "314-827-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9516 LACKLAND RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631143603",
            "telephone_number": "314-827-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME ADULT DAY PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "DANYIELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-827-2255",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lainie Holzman, M.S.W., L.C.S.W.
• Donna J Holzum, M.D.
• Dorothy Nicole Holzum, PHARMD
• Frank Joseph Homa, RPH
• Joseph P Homan, M.D.
• Home Away From Home Adult Daycare
• Home Away From Home in Home Services LLC
• Home Care Equipment, Inc.
• Home Care Mo, Inc.
• Home Care Services of Metropolitan St Louis LTD

• 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 Apr 23, 2013; 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.