Gerri'S Adult Day Care Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1215 Issued in MO

Legal business name

GERRI'S ADULT DAY CARE CENTER, LLC

Practice address

12444 Lusher Rd
Saint Louis, MO 63138-1456

Phone

(314) 738-9690

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Anetta Bolden-Roberts

Title

Business Manager

Phone

(314) 413-3862

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1972900918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 LUSHER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381456",
            "telephone_number": "314-738-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 LUSHER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381456",
            "telephone_number": "314-738-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERRI'S ADULT DAY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "BOLDEN-ROBERTS",
        "authorized_official_first_name": "ANETTA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "314-413-3862",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES LICENSE",
            "identifier": "1215",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Germanese, RD, LD
• Kevin W Germino, M.D.
• Christian Michael Germonprez
• Geromed, LLC
• Christopher M Geronsin, RPH
• Deborah Gersell, M.D.
• Gary Igor Gershilevich, D.D.S.
• Victoria Merrill Gershuni, MD
• Rebecca Gerson, CD(DONA)
• Kellie Lynn Gerst, CRNA

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.