Classic Adult Day Care Center

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

842 Issued in MO

Legal business name

CLASSIC ADULT DAY CARE CENTER

Practice address

3236 Parker Rd
Florissant, MO 63033-3733

Phone

(314) 323-9426

NPI assigned

Aug 27, 2009

Organization subpart

No

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

Authorized official

Name

Folasade Ayinmodu

Title

Owner/Director

Phone

(314) 323-9426

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1801029673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "314-856-9393",
            "fax_number": "314-856-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "314-323-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "AYINMODU",
        "authorized_official_first_name": "FOLASADE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "314-323-9426"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MO",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.