PATRICE EDORA HALL (NPI# 1689231169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689231169 |
| Entity Type | Individual |
| Full Name | PATRICE EDORA HALL |
| Practice Address |
500 Greenway Manor Florissant MO 63033 |
| Practice Telephone | 3148382393 |
| Practice Fax Number | 3148382616 |
| Mailing Telephone | 3148382393 |
| Mailing Fax Number | 3148382616 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 374U00000X | 05 |
| Street Address |
500 GREENWAY MANOR |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376191841 | Victoria Crews | Technician | 13114 Tree's Edge Ct, Black Jack, MO 63033 | 2019-08-28 |
| 1275195976 | Herbal Envy Spa LLC | Home Health Aide | 12630 Shoreside Drive, Florissant, MO 63033 | 2019-07-02 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1508344706 | Rekendra Farmer | Home Health | 3070 Kingsley Dr, Florissant, MO 63033 | 2018-07-31 |
| 1033616594 | B & J Consumer Directed Services | Home Health | 5 Farm Country Ct, Florissant, MO 63033 | 2018-04-11 |
| 1245740265 | Trusting Hands Home Health Services LLC | Home Health | 2430 Dresden Dr, Florissant, MO 63033 | 2017-10-04 |
| 1194243477 | Betty Moore | Registered Nurse | 2875 Devonshire Dr, Florissant, MO 63033 | 2017-09-06 |
| 1467976118 | Imperial Home Care, LLC | Home Health | 11674 Arroyo Dr, Florissant, MO 63033 | 2017-08-02 |
| 1194248492 | Apex Home Health Care Services LLC | Home Health | 3145 Kingsley Dr, Florissant, MO 63033 | 2017-07-19 |
| 1457892408 | Candus Lee | Counselor | 13855 New Halls Ferry Rd, Apt P, Florissant, MO 63033 | 2017-03-10 |
| Find all providers in zip 63033 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434630 | Sierra Meeks | Clinic/Center | 6826 Chesapeake Dr Apt B, Florissant, MO 63033-5237 | 2020-07-09 |
| 1114575057 | Infiniti Care Adult Day Center LLC | Clinic/Center | 11713 New Halls Ferry Rd, Florissant, MO 63033-6900 | 2019-09-03 |
| 1407319965 | Jewel Adult Day Center LLC | Clinic/Center | 407 Dunn Rd, Florissant, MO 63031-7930 | 2019-04-11 |
| 1649742842 | Pamela Vantrice Royston | Clinic/Center | 11581 W Florissant Ave, Florissant, MO 63033-6740 | 2018-12-28 |
| 1831675248 | Bountiful Blessings North | Clinic/Center | 13210 New Halls Ferry Rd, Florissant, MO 63033-3231 | 2018-07-18 |
| 1952777005 | Majestic Adult Care Center | Clinic/Center | 508 Greenway Chase Dr, Florissant, MO 63031-1398 | 2015-08-12 |
| 1508290461 | Blest Adult Day Care LLC | Clinic/Center | 500 Greenway Manor Drive, Florissant, MO 63033 | 2013-08-28 |
| 1194045856 | Care 4 Life Medical Resources, LLC | Clinic/Center | 11830 W Florissant Ave, Florissant, MO 63033-6745 | 2010-06-04 |
| 1093957706 | Happy Souls Adult Daycare | Clinic/Center | 11220 W Florissant Ave # 192, Florissant, MO 63033-6741 | 2009-03-26 |
| 1184764466 | Support Innovations Inc. | Clinic/Center | 1811 Dunn Rd, Florissant, MO 63033-6116 | 2007-02-07 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63033 |
Please comment or provide details below to improve the information on PATRICE EDORA HALL.
| 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.