HOME AWAY FROM HOME ADULT DAY PROGRAM, LLC (NPI# 1639513468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639513468 |
| Entity Type | Organization |
| Organization Name | HOME AWAY FROM HOME ADULT DAY PROGRAM, LLC |
| Practice Address |
9516 Lackland Rd Saint Louis MO 63114-3603 |
| Mailing Address |
10816 Olive Blvd Saint Louis MO 63141-7773 |
| Practice Telephone | 3148272255 |
| Mailing Telephone | 3148272255 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |
| Authorized Official Name | MISS DANYIELLE BURKS (DIRECTOR) |
| Authorized Official Telephone | 3148272255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
9516 LACKLAND RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63114-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926964 | Deann Porter | Prosthetist | 8743 Mavis Place, St Louis, MO 63114 | 2020-09-09 |
| 1255971438 | Hughes In Home Services | Home Health | 9319 Midland Ste B, St Louis, MO 63114 | 2020-01-15 |
| 1740714724 | Catherine Kagotho | Nurse Practitioner | 9915 Broadmoor Dr, Apt 4, Overland, MO 63114 | 2017-04-17 |
| 1073051371 | Ruth & Naomi Adult Day Services, Inc | Clinic/Center | 9443-9445 Lackland Road, St. Louis, MO 63114 | 2017-02-07 |
| 1992103691 | Lisa Abernathy | Social Worker | 9705 Tennyson Court, Saint Louis, MO 63114 | 2014-12-11 |
| 1356626808 | William J Norbury | Pharmacist | 8000 St. Charles Rock Road, Walgreens Pharmacy 4825, St.louis, MO 63114 | 2011-10-17 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1710126792 | Risingabove Independent Supported Living | Assisted Living Facility | 2330 # 2 Woodson Road, Overland, MO 63114 | 2009-02-13 |
| 1427215789 | Wnf Medical, LLC | Durable Medical Equipment & Medical Supplies | 1908-2000 Innerhelt Business Center Dr., Suite 1968, Overland, MO 63114 | 2008-05-22 |
| 1891838744 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 2215 Lackland Road, Overland, MO 63114 | 2007-02-14 |
| Find all providers in zip 63114 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915910 | Lori Ann Williams | Clinic/Center | 6719 W Florissant Ave, Saint Louis, MO 63136-3634 | 2020-09-07 |
| 1376155390 | A Adult Day Care Inc | Clinic/Center | 6201 Michigan Ave, Saint Louis, MO 63111-2546 | 2020-08-20 |
| 1083235709 | Ann's Touch Adult Daycare LLC | Clinic/Center | 1514 Goodfellow Blvd, Saint Louis, MO 63112-3828 | 2020-05-04 |
| 1871124438 | Angels At Work Adult Daycare LLC | Clinic/Center | 7058 W Florissant Ave, Saint Louis, MO 63136-2561 | 2020-01-31 |
| 1922641810 | Edu Health PCs and Adc | Clinic/Center | 1841 Arrowpoint Dr, Saint Louis, MO 63138-6313 | 2019-10-23 |
| 1396309597 | Soc Care Center, LLC | Clinic/Center | 4029 Gravois Ave, Saint Louis, MO 63116-3622 | 2019-04-24 |
| 1760944912 | Divine Purpose Adult Daycare LLC | Clinic/Center | 1442 Chambers Rd, Saint Louis, MO 63135-2270 | 2019-04-04 |
| 1811459340 | Beyond Care Adult Daycare LLC | Clinic/Center | 5225 Delmar Blvd, Saint Louis, MO 63108-1027 | 2019-04-03 |
| 1568921450 | Lots of Love Adult Daycare, LLC | Clinic/Center | 9486 Lewis and Clark Blvd, Saint Louis, MO 63136-5104 | 2019-03-19 |
| 1871058560 | Tyrone Dumas | Clinic/Center | 12060 Bellefontaine Rd, Saint Louis, MO 63138-1903 | 2019-02-06 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63114 |
Please comment or provide details below to improve the information on HOME AWAY FROM HOME ADULT DAY PROGRAM, LLC.
| 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.