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ST. ELIZABETH ADULT DAY CARE CENTER INC NPI 1871831339


NPI Information

NPI: 1871831339
Provider Name: ST. ELIZABETH ADULT DAY CARE CENTER INC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1424 S 1ST CAPITOL DR
SAINT CHARLES, MO
ZIP 63303
Phone: (636) 724-2110
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ST. ELIZABETH ADULT DAY CARE CENTER INC is an adult care home custodial care facility in Saint Charles, MO. The provider is 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. ST. ELIZABETH ADULT DAY CARE CENTER INC NPI is 1871831339. The provider is registered as an organization entity type.

The provider's business location address is:

1424 S 1ST CAPITOL DR
SAINT CHARLES, MO
ZIP 63303-702
Phone: (636) 724-2110
Fax: (636) 724-2110

The provider's authorized official is John Antonio Miller .
The authorized official title is Administrator and has the following contact phone number (314) 772-5107.

The enumeration date for this NPI number is 1/17/2013 and was last updated on 1/17/2013.


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
1311ZA0620XCustodial Care FacilityAdult Care Home1076MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11801925664OTHERMISSOURINPI
21487783254OTHERMISSOURINPI
31013046937OTHERMISSOURINPI
41730218660OTHERMISSOURINPI
51407986847OTHERMISSOURINPI
61184740847OTHERMISSOURINPI
71619006467OTHERMISSOURINPI

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: 5/5/2024

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