HOME AWAY FROM HOME ADULT DAYCARE (NPI# 1104036003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104036003 |
| Entity Type | Organization |
| Organization Name | HOME AWAY FROM HOME ADULT DAYCARE |
| Practice Address |
5535 Delmar Blvd Saint Louis MO 63112-3005 |
| Mailing Address |
Po Box 32086 Olivette MO 63132-8086 |
| Practice Telephone | 3142652096 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | ANDREA JONES (OWNER) |
| Authorized Official Telephone | 3147138222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
5535 DELMAR BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63112-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114909140 | Shilpa S. Thornton | Ophthalmology | 5535 Delmar Blvd, Ste 509, Saint Louis, MO 63112-3005 | 2005-11-16 |
| 1376981563 | Saint Louis Connectcare | Clinic/Center | 5535 Delmar Blvd, Saint Louis, MO 63112-3005 | 2013-06-10 |
| 1801138367 | Jody Louise Kruse | Nurse Practitioner | 5535 Delmar Blvd, Saint Louis, MO 63112-3005 | 2013-03-22 |
| 1912250184 | Ask-d Consultants, LLC | Hospice Care, Community Based | 5535 Delmar Blvd, Saint Louis, MO 63112-3005 | 2012-10-24 |
| 1942588850 | A-3 Home Care LLC | Hospice Care, Community Based | 5535 Delmar Blvd, 3400, Saint Louis, MO 63112-3005 | 2011-07-26 |
| 1922308535 | We Win | Voluntary or Charitable | 5535 Delmar Blvd, Ste. 212, Saint Louis, MO 63112-3005 | 2010-10-28 |
| 1730408998 | Harvest Home Care LLC | Home Health | 5535 Delmar Blvd, Saint Louis, MO 63112-3005 | 2010-05-26 |
| 1215187554 | James M. Whittico, Md, LLC | Clinic/Center | 5535 Delmar Blvd, Suite 2400, Saint Louis, MO 63112-3005 | 2008-09-23 |
| 1942496690 | Harvest Home Care LLC | Home Health | 5535 Delmar Blvd, Ste C-201, Saint Louis, MO 63112-3005 | 2007-09-17 |
| 1962621458 | Administrative Support Services, Inc | Clinic/Center | 5535 Delmar Blvd, Suite W-219, Saint Louis, MO 63112-3005 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275057291 | Love To Life | Custodial Care Facility | 8229 N Broadway, Saint Louis, MO 63147-2323 | 2017-08-01 |
| 1649726761 | Together Cds LLC | Custodial Care Facility | 917 Delaird Dr, Saint Louis, MO 63137-2717 | 2016-08-29 |
| 1053781443 | Vanessa Williams | Custodial Care Facility | 5757 Park Ln, Saint Louis, MO 63147-1019 | 2015-09-29 |
| 1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
| 1942476395 | Country Living Adult Day Care Inc. | Custodial Care Facility | 5622 Delmar Blvd, Suite102, Saint Louis, MO 63112-2600 | 2008-05-06 |
| 1679606198 | Miss B's Blessings | Custodial Care Facility | 4739 Cote Brilliante Ave, Saint Louis, MO 63113 | 2007-03-13 |
| 1932271475 | Sienna House Inc | Custodial Care Facility | 1322 Leroy Ave, Saint Louis, MO 63133-1504 | 2006-11-13 |
| 1669914297 | Orem Healthcare | Custodial Care Facility | 1000 Saint Cyr Rd, Saint Louis, MO 63137-1733 | 2016-11-14 |
| 1205191707 | Excel Home Health Care L.p. | Custodial Care Facility | 5622 Delmar Blvd, Saint Louis, MO 63112-2600 | 2012-07-10 |
| 1902129653 | Supplemental Health Care | Custodial Care Facility | 11960 Westline Industrial Dr, Suite 201, Saint Louis, MO 63146-3209 | 2010-03-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.