Center Stage, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

LC9274711 Issued in MO

Legal business name

CENTER STAGE, INC

Practice address

3923 Washington Blvd
Saint Louis, MO 63108-3507

Phone

(314) 533-6600

Fax

(314) 533-6601

NPI assigned

May 17, 2010

Last updated

May 17, 2010By 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

Mrs. Alfreda Marie Smith, RN, BSN

Title

Owner/Administrator

Phone

(314) 533-6600

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Center Stage Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Center Stage Inc.

  • Developmentally Disabled Services Day Training Agency
  • Saint Louis, MO
  • NPI 1598366890
  NPD tax ID
• Center Stage Inc.

  • Developmentally Disabled Services Day Training Agency
  • Saint Louis, MO
  • NPI 1720259534
  NPD tax ID

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1801114798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 WASHINGTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083507",
            "telephone_number": "314-533-6600",
            "fax_number": "314-533-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 WASHINGTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083507",
            "telephone_number": "314-533-6600",
            "fax_number": "314-533-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALFREDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "314-533-6600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "LC9274711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M285894309",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M265894303",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Center Stage Inc.
• Center Stage Inc.
• Centers for Professional and Pastoral Service
• Central Allergy Care PC
• Central Dermatology, P.C.
• Central Diagnostic Lab LLC
• Central Illinois Lung Internist Associates, SC

• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.