SUPRA SENIORS LLC NPI 1326241803

NPI Information

NPI: 1326241803
Provider Name: SUPRA SENIORS LLC
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
Doing Business As: SARAH CARE CENTRE ADULT DAY SERVICES
Address: 524 S ELM AVE
WEBSTER GROVES, MO
ZIP 63119
Phone: (314) 968-2222

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NPI Details

SUPRA SENIORS LLC is an adult day care clinic center in Webster Groves, MO. SUPRA SENIORS LLC NPI is 1326241803. The provider is registered as an organization entity type.
The provider Is Doing Business As Sarah Care Centre Adult Day Services.

The provider's business location address is:

524 S ELM AVE
WEBSTER GROVES, MO
ZIP 63119
Phone: (314) 968-2222
Fax: (314) 968-2224

The provider's authorized official is Davis Lane Allen .
The authorized official title is Executive Director and has the following contact phone number (314) 968-2222.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 7/25/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	685	MISSOURI	No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	685	MEDICAID	MISSOURI
2	296305709	MEDICAID	MISSOURI

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: 3/30/2025

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