SUPRA SENIORS 2, LLC (NPI# 1720453178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720453178 |
| Entity Type | Organization |
| Organization Name | SUPRA SENIORS 2, LLC |
| Other Organization Name | YOGI ADULT DAY CARE |
| Practice Address |
4365 Chippewa St Saint Louis MO 63116-1606 |
| Practice Telephone | 3146962510 |
| Mailing Telephone | 3146962510 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | MS. ALICIA PAYNE (DIRECTOR) |
| Authorized Official Telephone | 3146962510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Yogi Adult Day Care | Doing Business As Name - Organization |
| Street Address |
4365 CHIPPEWA ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63116-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467723932 | Shana Taylor | Pharmacist | 4365 Chippewa St, Suite 100, Saint Louis, MO 63316 | 2012-01-15 |
| 1568095248 | Youngjoon Kim | Pharmacist | 4365 Chippewa St, Saint Louis, MO 63116-1606 | 2020-02-20 |
| 1730555178 | Tyler Sumner Taylor | Pharmacist | 4365 Chippewa St, Suite 100, Saint Louis, MO 63116-1606 | 2015-08-20 |
| 1689095861 | Elizabeth Lehmann | Pharmacist | 4365 Chippewa St, Suite 100, Saint Louis, MO 63116-1606 | 2013-12-14 |
| 1134554181 | Yogi Adult Day Care Center LLC | Clinic/Center | 4365 Chippewa St, Suite 102, Saint Louis, MO 63116-1606 | 2013-09-10 |
| 1396085213 | American Toxicology Institute, LLC | Clinical Medical Laboratory | 4365 Chippewa St, Suite 101, Saint Louis, MO 63116-1606 | 2013-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713395 | Trinity Cares LLC | In Home Supportive Care | 4343 Osceola, St Louis, MO 63116 | 2018-09-13 |
| 1437689213 | Veronica Leigh Delgado | Social Worker | 3430 Grace Ave, St. Louis, MO 63116 | 2017-06-14 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1639426620 | Candice Daily | Home Health | 6824 Salzburger Ave, Saint Louis, MO 63116 | 2012-08-08 |
| 1104001304 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3573 Bamberger Ave., St. Louis, MO 63116 | 2008-01-07 |
| 1053533018 | Ryan Wesley Riney | Pharmacist | 3865 Gravois, St. Louis, MO 63116 | 2007-05-02 |
| 1508983040 | Marc Robert Boivin | Dentist | 4181 Loughborough Ave, St Louis, MO 63116 | 2007-03-22 |
| 1750454484 | Hector Ocampo Pineda | Internal Medicine | 4460 Chippewa St, St Louis, MO 63116 | 2006-11-17 |
| 1003926130 | Ann Heath Pietroburgo | Occupational Therapist | 4600 Chippewa, Ste F, St Louis, MO 63116 | 2006-08-30 |
| 1891216776 | Sheila Edwards | Licensed Practical Nurse | 4066 Dunnica Ave, Saint Louis, MO 63116 | 2017-06-30 |
| Find all providers in zip 63116 | ||||
| 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 | 63116 |
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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.