SUPRA SENIORS 2 LLC NPI 1720453178

NPI Information

  • NPI: 1720453178
  • Provider Name: SUPRA SENIORS 2, LLC
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Doing Business As: YOGI ADULT DAY CARE
  • Address: 4365 CHIPPEWA ST
    SAINT LOUIS, MO
    ZIP 63116
  • Phone: (314) 696-2510

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NPI Details

SUPRA SENIORS 2, LLC is an adult day care clinic center in Saint Louis, MO. SUPRA SENIORS 2, LLC NPI is 1720453178. The provider is registered as an organization entity type.
The provider Is Doing Business As Yogi Adult Day Care.

The provider's business location address is:

4365 CHIPPEWA ST
SAINT LOUIS, MO
ZIP 63116-606
Phone: (314) 696-2510

The provider's authorized official is Alicia Payne .
The authorized official title is Director and has the following contact phone number (314) 696-2510.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/10/2015.

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
1261QA0600XClinic/CenterAdult Day CareYes

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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