Active NPI
The Outreach Center of Christ the Savior
- PACE Provider Organization
- Saint Louis, MO
National Provider Identifier
1881890671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- 602
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295721401 | Medicaid | MO |
Other names 1
- Happy Spirit Adult Day Care
National Provider Directory
National Provider Directory- Tax ID family
- The Outreach Center of Christ the Savior
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Saint Louis, MO
- NPI 1376082529
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
- The Middle Way Counseling and Consulting, LLC
- The New Eyewear Loft Inc.
- The NP Advantage LLC
- The Nurturing Team CDS, LLC
- The Outreach Center of Christ the Savior
- The Path to Conscious Healing, LLC
- The Perfect Plate LLC
- The Phleb Coach LLC
- The Phoenix Oversight and Consulting, LLC.
- The Physical Therapy Center, Inc.
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.