HOUSE OF DESTINY ADULT DAY CARE LLC – NPI #1336661719
Clinic/Center

HOUSE OF DESTINY ADULT DAY CARE LLC is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1336661719 to HOUSE OF DESTINY ADULT DAY CARE LLC on July 07, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOUSE OF DESTINY ADULT DAY CARE LLC below.

NPI Profile for
HOUSE OF DESTINY ADULT DAY CARE LLC

NPI Number
1336661719
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOUSE OF DESTINY ADULT DAY CARE LLC
Primary location
4507 OLIVE STREET
SAINT LOUIS, MO 63108
Phone: (314) 669-1755 Fax:
Mailing address
4507 OLIVE ST
SAINT LOUIS, MO 63108-1814
Phone: Fax:
Organization Subpart
No
Authorized Official
MICHELLE TERRY
EXECUTIVE DIRECTOR
Phone: (314) 669-1755
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 MO 1428

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.