Bon Vivant Adult Day Club L.L.C.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

652 Issued in MO

Legal business name

BON VIVANT ADULT DAY CLUB L.L.C.

Practice address

1525 Bowles Ave.
Ste a
Fenton, MO 63026

Phone

(636) 343-1600

Fax

(636) 343-1496

NPI assigned

Jan 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Maureen Hampton

Title

Assistant Administrator

Phone

(636) 343-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861549412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BOWLES AVENUE",
            "address_2": "SUITE A",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "63026",
            "telephone_number": "636-343-1600",
            "fax_number": "636-343-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BOWLES AVE.",
            "address_2": "STE A",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "63026",
            "telephone_number": "636-343-1600",
            "fax_number": "636-343-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON VIVANT ADULT DAY CLUB L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "636-343-1600"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Louise Blandford, DPT
• Diane Denise Block, NP
• Kellie L Blow, DPT
• Michael Scott Boedefeld, MD
• Emily Bohnert
• Susan Elizabeth Bonk, MS, CCC-SLP
• Nicole M Book, MS, LPC
• Melanie Marie Boon, APN
• Aaron Bornstein, D.O.
• Maged Boules

• Adult Day Care Clinic/Center in Fenton, MO
• Providers in Fenton, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• 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.