CAMBRIDGE AUDLT DAY CENTER MICHIGAN LLC (NPI# 1609126838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609126838 |
| Entity Type | Organization |
| Organization Name | CAMBRIDGE AUDLT DAY CENTER MICHIGAN LLC |
| Practice Address |
4249 Michigan Ave Saint Louis MO 63111-1126 |
| Mailing Address |
4249 Michigan Avenue St. Louis MO 63111-1126 |
| Practice Telephone | 3149321221 |
| Practice Fax Number | 3149321220 |
| Mailing Telephone | 3149321221 |
| Mailing Fax Number | 3149321220 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Authorized Official Name | CHRISTINE MICHELLE ZERJAV (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3149321221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
1048 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1048 | 05 |
| Street Address |
4249 MICHIGAN AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63111-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992121859 | Cambridge Adult Day Services LLC | In Home Supportive Care | 4249 Michigan Ave, Saint Louis, MO 63111-1126 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
| 1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
| 1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
| 1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
| 1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
| 1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
| 1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| Find all providers in zip 63111 | ||||
| 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 | 63111 |
Please comment or provide details below to improve the information on CAMBRIDGE AUDLT DAY CENTER MICHIGAN 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.