Amandas Mini Day Spa

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2001010642 Issued in MO

Legal business name

AMANDAS MINI DAY SPA

Practice address

510 E Chain of Rocks Rd
Granite City, IL 62040-2803

Phone

(314) 467-0766

NPI assigned

Jan 6, 2015

Last updated

Jan 6, 2015By 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

Ms. Amanda Ransom, LMT

Title

Owner

Phone

(314) 467-0766

Specialties & licenses 1

Addresses

Other names 1

• Amandas Mini Day Spa Other name

Tax ID family

Amanda Mitchell2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Amanda's Mini Day Spa

  • Physical Therapy Clinic/Center
  • Granite City, IL
  • NPI 1750770988
  NPD tax ID

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1760870224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E CHAIN OF ROCKS RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620402803",
            "telephone_number": "314-467-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CHAIN OF ROCKS RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620402803",
            "telephone_number": "314-467-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDAS MINI DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-467-0766",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2001010642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amandas Mini Day Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ahs Il Medical Group LLC
• Oladele O. Ajao, MD
• Cynthia Jeffries Akeman
• Alcoholic Rehabilitation Community Home
• Amanda's Mini Day Spa
• Amar Medical Associates, PC
• American Healthcare Systems Illinois LLC (Gateway Regional Medical Center)
• American Healthcare Systems Illinois LLC
• Edward Carl Anderson, PA
• Stephen C Anderson, D.D,S,

• Skilled Nursing Facility in Granite City, IL
• Providers in Granite City, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.