HOUSE OF DESTINY ADULT DAY CARE LLC (NPI# 1336661719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336661719 |
| Entity Type | Organization |
| Organization Name | HOUSE OF DESTINY ADULT DAY CARE LLC |
| Practice Address |
4507 Olive Street St Louis MO 63108 |
| Mailing Address |
4507 Olive St Saint Louis MO 63108-1814 |
| Practice Telephone | 3146691755 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Authorized Official Name | MICHELLE TERRY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3146691755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
1428 | MO | Ambulatory Health Care Facilities |
| Street Address |
4507 OLIVE STREET |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| 1720515729 | Rachel Hartman | Pharmacist | 115a N Euclid, St Louis, MO 63108 | 2017-05-22 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528463858 | Jjea Adult Day Services, LLC | Clinic/Center | 10262 Page Ave, St Louis, MO 63132 | 2014-10-29 |
| 1164621538 | The Learning Tree Intergenerational Center Inc | Clinic/Center | 4430 Labadie Ave, St Louis, MO 63115 | 2007-07-16 |
| 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 |
| 1003434630 | Sierra Meeks | Clinic/Center | 6826 Chesapeake Dr Apt B, Florissant, MO 63033-5237 | 2020-07-09 |
| 1063038016 | America Elderly Care LLC | Clinic/Center | 5701 Longview Rd, Kansas City, MO 64137-2728 | 2020-06-24 |
| 1083235709 | Ann's Touch Adult Daycare LLC | Clinic/Center | 1514 Goodfellow Blvd, Saint Louis, MO 63112-3828 | 2020-05-04 |
| 1104452317 | Above & Beyond International | Clinic/Center | 10522 Grandview Rd, Kansas City, MO 64137-1624 | 2020-03-19 |
| 1134753593 | Friends of The St. Clair County Senior Center | Clinic/Center | 5345 Bus Hwy 13 Ne, Osceola, MO 64776 | 2020-02-25 |
| 1871124438 | Angels At Work Adult Daycare LLC | Clinic/Center | 7058 W Florissant Ave, Saint Louis, MO 63136-2561 | 2020-01-31 |
| 1346889789 | Inspiring Angels Adult Daycare Inc | Clinic/Center | 6827 Howdershell Rd, Hazelwood, MO 63042-1213 | 2020-01-02 |
| 1992341275 | Abba Hands Adult Daycare LLC | Clinic/Center | 12523 Missouri Bottom Rd, Hazelwood, MO 63042-1561 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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| 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.