Celebration City Community Center

LBN: Celebration City Community Center
Celebration City Community Center is an health care organization with primary practice located at 4130 E Lexington Ave , Saint Louis MO 63115-3333. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Celebration City Community Center can be contacted via phone (314) 261-4348, or through Thomas, Prientiss via phone (314) 761-6132.

Contact Information

Primary practice address
4130 E Lexington Ave Saint Louis MO 63115-3333
Fax: (313) 449-1338
Website:
Authorized official contact:
Name: Thomas, Prientiss BS THEOLOGY, D. DIVI

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1346886488
LBN Legal business name Celebration City Community Center
DBA Doing business as
Authorized official Thomas, Prientiss BS THEOLOGY, D. DIVI
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 25th, 2019
Last updated Nov 25th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346886488 NPPES
Missouri MEDICAID 29

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