Classic Adults Day Care Center

LBN: Devine Care Consumer Direct Services,Llc
Classic Adults Day Care Center is an health care organization with primary practice located at 3236 Parker Rd , Florissant MO 63033-3733. 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. Devine Care Consumer Direct Services,Llc can be contacted via phone (314) 856-9393, or through Ayinmodu, Folasade via phone (314) 323-9426.

Contact Information

Primary practice address
3236 Parker Rd Florissant MO 63033-3733
Fax: (314) 856-9677
Website:
Authorized official contact:
Name: Ayinmodu, Folasade

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 842 Missouri

Profile Details

NPI number 1861830093
LBN Legal business name Devine Care Consumer Direct Services,Llc
DBA Doing business as Classic Adults Day Care Center
Authorized official Ayinmodu, Folasade
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2013
Last updated Jun 10th, 2013 - about 11 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 1861830093 NPPES
Missouri MEDICAID 1801029673

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