Young In Spirit Adult Day Center

LBN: Young In Spirit Adult Day Center
Young In Spirit Adult Day Center is an health care organization with primary practice located at 2639 Miami Street , Saint Louis MO 63118-3520. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Young In Spirit Adult Day Center can be contacted via phone (314) 645-2411, or through Bone, Laura Lynn via phone (314) 645-2411.

Contact Information

Primary practice address
2639 Miami Street Saint Louis MO 63118-3520
Phone: (314) 645-2411
Fax: (314) 645-2007
Website:
Map and Directions
Authorized official contact:
Name: Bone, Laura Lynn Registered Nurse (RN)
Phone: (314) 645-2411

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 637 Missouri
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 1081 Missouri
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X ER019914017 Missouri

Profile Details

NPI number 1568595981
LBN Legal business name Young In Spirit Adult Day Center
DBA Doing business as
Authorized official Bone, Laura Lynn Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Sep 25th, 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 1568595981 NPPES
Missouri MEDICAID 296246002

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