Organization Active NPI

Assisted Daily Living LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1811222771
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASSISTED DAILY LIVING LLC
Practice address
9726 Halls Ferry Rd
Saint Louis, MO 63136-4058
Phone
(314) 388-2600
NPI assigned
Oct 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Ms. Shanice Brown
Title
Executive Director
Phone
(314) 388-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9726 Halls Ferry Rd
Saint Louis, MO 63136-4058

Mailing address

9726 Halls Ferry Rd
Saint Louis, MO 63136-4058
Phone (314) 388-2600

Other identifiers 1

IdentifierTypeStateIssuer
122488MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1811222771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 HALLS FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364058",
            "telephone_number": "314-388-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9726 HALLS FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364058",
            "telephone_number": "314-388-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED DAILY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-11",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-388-2600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122488",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 2, 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.