ST. ELIZABETH ADULT DAY CARE CENTER, INC. (NPI# 1316076250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316076250 |
Entity Type | Organization |
Organization Name | ST. ELIZABETH ADULT DAY CARE CENTER, INC. |
Other Organization Name | ST ELIZABETH ADULT DAY CARE CENTER OF WASHINGTON |
Practice Address |
1202 W 5th St Washington MO 63090-1402 |
Mailing Address |
3401 Arsenal St Saint Louis MO 63118-2001 |
Practice Telephone | 6362397100 |
Mailing Telephone | 3147725107 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JOHN ANTONIO MILLER (ADMINISTRATOR) |
Authorized Official Telephone | 3147725107 |
Authorized Official Credential | C.PP.S. (SISTER) |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
662 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | SSBG ID | 006915 | 01 |
Other Name | Type Code |
---|---|
St Elizabeth Adult Day Care Center of Washington | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407986847 | St. Elizabeth Adult Day Care Center, Inc. | Clinic/Center | 3401 Arsenal Street, Saint Louis, MO 63118-2001 | 2007-03-06 |
1205965118 | St. Elizabeth Adult Day Care Center, Inc. | Clinic/Center | 3227 S 9th St, Saint Louis, MO 63118-2629 | 2007-03-05 |
1013046937 | St. Elizabeth Adult Day Care Center, Inc. | Clinic/Center | 2142 Switzer Ave, Jennings, MO 63136-3842 | 2007-03-05 |
Street Address |
1202 W 5TH ST |
City | WASHINGTON |
State | MO |
Zip Code | 63090-1402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
Find all providers in zip 63090 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104443423 | Iona Senior Services | Clinic/Center | 3303 Stanton Rd Se, Washington, DC 20020-2252 | 2020-07-02 |
1548768955 | Wah Luck House Senior Medical Adult Day Care | Clinic/Center | 800 6th St Nw, Washington, DC 20001-3756 | 2018-01-31 |
1073983763 | Renaissance Adhc @ Foote St | Clinic/Center | 5214 Foote St Ne, Washington, DC 20019-6657 | 2015-10-07 |
1528301082 | Izetta Care | Clinic/Center | 201 Q St Ne, 3536, Washington, DC 20002-2294 | 2013-04-03 |
1245469261 | Renaissance Adult Day Health Care Center At Claridge LLC | Clinic/Center | 1221 M St Nw, Washington, DC 20005-5176 | 2009-07-12 |
1497998876 | Seniorlife Washington, Inc. | Clinic/Center | 2114 North Franklin Drive, Washington, PA 15301 | 2009-04-14 |
1407016660 | Renaissance Adhc At Foote St | Clinic/Center | 5214 Foote Street, Ne, Washington, DC 20019 | 2008-06-11 |
1942726856 | Washington Operating LLC | Clinic/Center | 36 Old Hickory Ridge Rd, Washington, PA 15301-8613 | 2017-08-22 |
1699149138 | Downtown Cluster's Geriatric Day Care Center, Inc. | Clinic/Center | 926 11th St Nw, Washington, DC 20001-4408 | 2015-11-20 |
1114399862 | Psi Services IIi, Inc. | Clinic/Center | 5820 Dix St Ne, Washington, DC 20019-6965 | 2015-10-21 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 63090 |
Please comment or provide details below to improve the information on ST. ELIZABETH ADULT DAY CARE CENTER, INC..
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.