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DEVINE CARE CONSUMER DIRECT SERVICESLLC NPI 1861830093


NPI Information

NPI: 1861830093
Provider Name: DEVINE CARE CONSUMER DIRECT SERVICES,LLC

Other Name: CLASSIC ADULTS DAY CARE CENTER

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
3236 PARKER RD
FLORISSANT, MO
ZIP 63033
Phone: (314) 856-9393
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DEVINE CARE CONSUMER DIRECT SERVICES,LLC is an adult care home custodial care facility in Florissant, MO. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. DEVINE CARE CONSUMER DIRECT SERVICES,LLC NPI is 1861830093. The provider is registered as an organization entity type.
The provider Other Name Is Classic Adults Day Care Center.

The provider's business location address is:

3236 PARKER RD
FLORISSANT, MO
ZIP 63033-733
Phone: (314) 856-9393
Fax: (314) 856-9677

The provider's authorized official is Folasade Ayinmodu .
The authorized official title is Director and has the following contact phone number (314) 323-9426.

The enumeration date for this NPI number is 6/10/2013 and was last updated on 6/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care Home842MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11801029673MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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