Organization Active NPI

Cambridge Adult Day - St. Charles LLC

  • Adult Day Care Clinic/Center
  • Saint Charles, MO
National Provider Identifier
1992112916
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1194 Issued in MO
Legal business name
CAMBRIDGE ADULT DAY - ST. CHARLES LLC
Practice address
2061 Exchange Dr
Saint Charles, MO 63303-5987
Phone
(636) 757-3672
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Kelle Wahoff
Title
Manager
Phone
(314) 434-2769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1194 MO Primary

Addresses

Primary practice location

2061 Exchange Dr
Saint Charles, MO 63303-5987

Mailing address

2061 Exchange Dr
Saint Charles, MO 63303-5987
Phone (636) 757-3672

National Provider Directory

National Provider Directory

Locations

2061 Exchange Dr
Saint Charles, MO 63303
Phone (636) 410-8303

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1992112916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 EXCHANGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035987",
            "telephone_number": "636-757-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 EXCHANGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035987",
            "telephone_number": "636-757-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE ADULT DAY - ST. CHARLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "WAHOFF",
        "authorized_official_first_name": "KELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-434-2769"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.