Midwest Adult Day Center, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1440 Issued in MO

Legal business name

MIDWEST ADULT DAY CENTER, INC

Practice address

2940 Derhake Rd
Florissant, MO 63033-3900

Phone

(314) 731-1922

NPI assigned

Oct 12, 2017

Organization subpart

No

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

Authorized official

Name

Annette Saurberry

Title

Director

Phone

(314) 731-1922

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1801307244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 DERHAKE RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333900",
            "telephone_number": "314-731-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 DERHAKE RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333900",
            "telephone_number": "314-731-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ADULT DAY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "SAURBERRY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-731-1922"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639422884",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Florissant, MO
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.