FRESH START ADULT DAY CARE OF MISSOURI INC – NPI #1710369608
Clinic/Center

FRESH START ADULT DAY CARE OF MISSOURI INC is an AHC clinic located in WINDSOR, MO. NPPES has assigned the NPI number 1710369608 to FRESH START ADULT DAY CARE OF MISSOURI INC on June 26, 2015. 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 FRESH START ADULT DAY CARE OF MISSOURI INC below.

NPI Profile for
FRESH START ADULT DAY CARE OF MISSOURI INC

NPI Number
1710369608
Enumeration Date

(about 11 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
FRESH START ADULT DAY CARE OF MISSOURI INC
Primary location
111-113 ST MAIN
WINDSOR, MO 65360
Phone: (660) 647-0207 Fax:
Mailing address
2700 LACEWOOD DR
COLUMBIA, MO 65201-3545
Phone: (573) 289-7500 Fax:
Organization Subpart
No
Authorized Official
KALEEM SYED
PRESIDENT/CEO
Phone: (573) 289-7500
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 1247

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.