NPIMap

Organization Active NPI

St Elizabeth Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1801925664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
625 Issued in MO
Legal business name
ST ELIZABETH ADULT DAY CARE CENTER
Practice address
9723 Grandview Dr
Saint Louis, MO 63132-2006
Phone
(314) 664-6165
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Antonio Miller, C.PP.S. (SISTER)
Title
Administrator
Phone
(314) 772-5107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 625 MO Primary

Addresses

Primary practice location

9723 Grandview Dr
Saint Louis, MO 63132-2006

Mailing address

3401 Arsenal St
Saint Louis, MO 63118-2001
Phone (314) 772-5107

Other identifiers 1

IdentifierTypeStateIssuer
0008600OtherMOSSBG ID

Other names 1

  • St Elizabeth Adult Day Care Center of Olivette Other name

National Provider Directory

National Provider Directory
Tax ID family
St Elizabeth Adult Day Care Center Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

9723 Grandview Dr
Saint Louis, MO 63132
Phone (314) 664-6165

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801925664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ARSENAL ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631182001",
            "telephone_number": "314-772-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9723 GRANDVIEW DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322006",
            "telephone_number": "314-664-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-772-5107",
        "authorized_official_credential": "C.PP.S. (SISTER)"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSBG ID",
            "identifier": "0008600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth Adult Day Care Center of Olivette",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.