NPIMap

Organization Active NPI

Comfort & Joy Care, LLC

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1821404401
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1175 Issued in MO
Legal business name
COMFORT & JOY CARE, LLC
Practice address
4507 Olive St
Saint Louis, MO 63108-1814
Phone
(314) 454-3559
Fax
(314) 454-3557
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Monique Lachelle Sellers
Title
Owner/Director
Phone
(314) 454-3559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1175 MO Primary

Addresses

Primary practice location

4507 Olive St
Saint Louis, MO 63108-1814

Mailing address

4507 Olive St
Saint Louis, MO 63108-1814
Phone (314) 454-3559

Other identifiers 1

IdentifierTypeStateIssuer
1175MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1821404401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081814",
            "telephone_number": "314-454-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081814",
            "telephone_number": "314-454-3559",
            "fax_number": "314-454-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT & JOY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "LACHELLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "314-454-3559"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1175",
            "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 Jul 3, 2014; 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.