DELMAR GARDENS PRIVATE SERVICES LLC NPI 1649265562

NPI Information

  • NPI: 1649265562
  • Provider Name: DELMAR GARDENS PRIVATE SERVICES, LLC
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Doing Business As: DELMAR GARDENS PRIVATE SERVICES
  • Address: 14805 N OUTER 40 RD STE 320A
    CHESTERFIELD, MO
    ZIP 63017
  • Phone: (636) 733-7100

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NPI Details

DELMAR GARDENS PRIVATE SERVICES, LLC is a public health or welfare in Chesterfield, MO. DELMAR GARDENS PRIVATE SERVICES, LLC NPI is 1649265562. The provider is registered as an organization entity type.
The provider Is Doing Business As Delmar Gardens Private Services.

The provider's business location address is:

14805 N OUTER 40 RD STE 320A
CHESTERFIELD, MO
ZIP 63017-021
Phone: (636) 733-7100
Fax: (636) 733-7101

The provider's authorized official is Bryan Michael Backowski .
The authorized official title is Director and has the following contact phone number (636) 733-7330.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 1/9/2025.

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
1251E00000XHome HealthNo
2251K00000XPublic Health or WelfareYes
3253Z00000XIn Home Supportive CareNo

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
1260563713MEDICAIDMISSOURI
2280563701MEDICAIDMISSOURI

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: 11/21/2025

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