Celebration City Community Center

Adult Day Care Clinic/Center · Saint Louis, MO

Organization Active NPI

NPI number 1346886488

Practice location

4130 E Lexington Ave
Saint Louis, MO 63115-3333
Phone
(314) 261-4348
Fax
(313) 449-1338

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NPI record

NPI
1346886488
Entity type
Organization (Type 2)
Enumeration date
November 25, 2019
Last updated
November 25, 2019
Organization subpart
Yes
Parent organization
Same As Above

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Adult Day Care Clinic/Center Primary 261QA0600X — —

Mailing address

1703 Stoney Terrace Dr
Ballwin, MO 63021-7783
Phone
(314) 761-6132
Fax
(314) 449-1338

Authorized official

Name
Mr. Prientiss Thomas, BS THEOLOGY, D. DIVI
Title
Program Director
Phone
(314) 761-6132

Other names

  • Celebration City Community Center
  • same as above

Other practice locations (1)

  • 4126-4130 East Lexington Avenue, St. Louis, MO 63115 · (314) 261-4348

About Celebration City Community Center

Celebration City Community Center is a healthcare organization registered in the NPI registry with the primary taxonomy Adult Day Care Clinic/Center (code 261QA0600X). The practice location is 4130 E Lexington Ave, Saint Louis, MO 63115-3333. The NPI number 1346886488 was assigned on November 25, 2019 and the record was last updated on November 25, 2019.

The authorized official for this organization is Mr. Prientiss Thomas, BS THEOLOGY, D. DIVI, Program Director.

Frequently asked questions

What is the NPI number of Celebration City Community Center?

The NPI number is 1346886488.

What is the phone number of Celebration City Community Center?

The phone number listed for the practice location is (314) 261-4348.

Where is Celebration City Community Center located?

4130 E Lexington Ave, Saint Louis, MO 63115-3333.

What is the taxonomy code for Celebration City Community Center?

The primary taxonomy code is 261QA0600X – Adult Day Care Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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