ST. ELIZABETH ADULT DAY CARE CENTER INC. NPI 1407986847

NPI Information

NPI: 1407986847
Provider Name: ST. ELIZABETH ADULT DAY CARE CENTER, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
3401 ARSENAL STREET
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 772-5107
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ST. ELIZABETH ADULT DAY CARE CENTER, INC. is an adult day care clinic center in Saint Louis, MO. ST. ELIZABETH ADULT DAY CARE CENTER, INC. NPI is 1407986847. The provider is registered as an organization entity type.

The provider's business location address is:

3401 ARSENAL STREET
SAINT LOUIS, MO
ZIP 63118-001
Phone: (314) 772-5107

The provider's authorized official is John Antiono Miller .
The authorized official title is Administrator and has the following contact phone number (314) 772-5107.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.

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	589	MISSOURI	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	0001705	OTHER	MISSOURI	SSBG ID

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: 4/28/2024

NPI Synchronization or Removal

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