Organization Active NPI

Affordable Adult Assistance Center, LLC

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1821362682
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AFFORDABLE ADULT ASSISTANCE CENTER, LLC
Practice address
12662 Willow Trail Dr
Florissant, MO 63033-4647
Phone
(314) 653-0131
Fax
(314) 653-0131
NPI assigned
Feb 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Mellissa A. Harris
Title
Owner
Phone
(314) 363-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12662 Willow Trail Dr
Florissant, MO 63033-4647

Mailing address

12662 Willow Trail Dr
Florissant, MO 63033-4647
Phone (314) 653-0131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1821362682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12662 WILLOW TRAIL DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630334647",
            "telephone_number": "314-653-0131",
            "fax_number": "314-653-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12662 WILLOW TRAIL DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630334647",
            "telephone_number": "314-653-0131",
            "fax_number": "314-653-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE ADULT ASSISTANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-26",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MELLISSA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-363-8883"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.