Country Living Adult Day Care Inc.

LBN: Country Living Adult Day Care Inc.
Country Living Adult Day Care Inc. is an health care organization with primary practice located at 5622 Delmar Blvd Suite102, Saint Louis MO 63112-2600. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Country Living Adult Day Care Inc. can be contacted via phone (314) 361-7778, or through Hamilton, Janette via phone (314) 361-7778.

Contact Information

Primary practice address
5622 Delmar Blvd Suite102 Saint Louis MO 63112-2600
Fax: (314) 361-7776
Website:
Authorized official contact:
Name: Hamilton, Janette

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1942476395
LBN Legal business name Country Living Adult Day Care Inc.
DBA Doing business as
Authorized official Hamilton, Janette
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 16 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 1942476395 NPPES
Missouri MEDICAID 1518189141

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