Organization Active NPI

The Outreach Center of Christ the Savior

  • PACE Provider Organization
  • Saint Louis, MO
National Provider Identifier
1881890671
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
602 Issued in MO
Legal business name
THE OUTREACH CENTER OF CHRIST THE SAVIOR
Practice address
3904 Delmar Blvd
Saint Louis, MO 63108-3502
Phone
(314) 371-9999
Fax
(314) 371-0466
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Ms. Shelly Ann Gilmore
Title
Director Minister
Phone
(314) 371-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 602 MO Primary

Addresses

Primary practice location

3904 Delmar Blvd
Saint Louis, MO 63108-3502

Mailing address

3904 Delmar Blvd
Saint Louis, MO 63108-3502
Phone (314) 371-9999

Other identifiers 1

IdentifierTypeStateIssuer
295721401MedicaidMO

Other names 1

  • Happy Spirit Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Outreach Center of Christ the Savior2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3904 Delmar Blvd
Saint Louis, MO 63108
Phone (314) 371-9999

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1881890671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083502",
            "telephone_number": "314-371-9999",
            "fax_number": "314-371-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083502",
            "telephone_number": "314-371-9999",
            "fax_number": "314-371-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OUTREACH CENTER OF CHRIST THE SAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR MINISTER",
        "authorized_official_telephone_number": "314-371-9999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MO",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295721401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Spirit Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2011; 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.