ST ELIZABETH ADULT DAY CARE CENTER (NPI# 1801925664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801925664 |
| Entity Type | Organization |
| Organization Name | ST ELIZABETH ADULT DAY CARE CENTER |
| Other Organization Name | ST ELIZABETH ADULT DAY CARE CENTER OF OLIVETTE |
| Practice Address |
9723 Grandview Dr Saint Louis MO 63132-2006 |
| Mailing Address |
3401 Arsenal St Saint Louis MO 63118-2001 |
| Practice Telephone | 3146646165 |
| 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 |
625 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | SSBG ID | 0008600 | 01 |
| Other Name | Type Code |
|---|---|
| St Elizabeth Adult Day Care Center of Olivette | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619006467 | St Elizabeth Adult Day Care Center | Clinic/Center | 2543 Hood Ave, Overland, MO 63114-3259 | 2007-03-05 |
| 1487783254 | St Elizabeth Adult Day Care Center | Clinic/Center | 317 Hoffmeister Ave, Saint Louis, MO 63125-1609 | 2007-03-05 |
| Street Address |
9723 GRANDVIEW DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| 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 | 63132 |
Please comment or provide details below to improve the information on ST ELIZABETH ADULT DAY CARE CENTER.
| 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.