Active NPI
Cambridge Adult Day - St. Charles LLC
- Adult Day Care Clinic/Center
- Saint Charles, MO
National Provider Identifier
1992112916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 1194
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.