Modern Senior Living Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MODERN SENIOR LIVING CORP

Doing business as

Modern Senior Services

Practice address

10024 Office Center Ave Ste 125
Saint Louis, MO 63128-1390

Phone

(314) 270-8507

Fax

(314) 270-3854

NPI assigned

Mar 13, 2018

Last updated

Mar 13, 2018By 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

Linda M Stubbs, RN

Title

Ceo

Phone

(314) 276-0120

Specialties & licenses 1

Addresses

Other names 1

• Modern Senior Services Doing business as

Locations

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1962905265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 OFFICE CENTER AVE STE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281390",
            "telephone_number": "314-270-8507",
            "fax_number": "314-270-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 OFFICE CENTER AVE STE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281390",
            "telephone_number": "314-270-8507",
            "fax_number": "314-270-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN SENIOR LIVING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-276-0120",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.