YOUNG IN SPIRIT ADULT DAYCARE LLC NPI 1114220779

NPI Information

NPI: 1114220779
Provider Name: YOUNG IN SPIRIT ADULT DAYCARE, LLC

Doing Business As: YOUNG IN SPIRIT ADULT DAY CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2639 MIAMI ST
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 802-8384
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YOUNG IN SPIRIT ADULT DAYCARE, LLC is an adult day care clinic center in Saint Louis, MO. YOUNG IN SPIRIT ADULT DAYCARE, LLC NPI is 1114220779. The provider is registered as an organization entity type.
The provider Is Doing Business As Young In Spirit Adult Day Center.

The provider's business location address is:

2639 MIAMI ST
SAINT LOUIS, MO
ZIP 63118-929
Phone: (314) 802-8384
Fax: (314) 802-8385

The provider's authorized official is Laura Lynn Bone .
The authorized official title is Owner/program Director and has the following contact phone number (314) 802-8384.

The enumeration date for this NPI number is 12/20/2010 and was last updated on 12/20/2010.

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
1	261QA0600X	Clinic/Center	Adult Day Care	916	MISSOURI	Yes

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
1	296246002	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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