NORTHERN FAMILY ADULT DAYCARE LLC
NPI 1760156913
Clinic/Center - Adult Day Care in Saint Louis, MO

Active since August 02, 2021
11763 BENHAM RD, SAINT LOUIS, MO 63136(314) 308-9106 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Family Adult Daycare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN FAMILY ADULT DAYCARE LLC (NPI 1760156913) is a healthcare organization registered as an adult day care in Saint Louis, Missouri and active in the NPI registry since August 2021. The organization lists Kimberly Etis Northern, Director, as its authorized official.

NPPES Registry Identity

NPI1760156913
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameNORTHERN FAMILY ADULT DAYCARE LLC
Location Address11763 BENHAM RDSaint Louis, MO 63136-6113
Mailing Address11763 Benham RdSaint Louis, MO 63136-6113 · (314) 308-9106
Organization SubpartNo
Authorized OfficialKimberly Etis NorthernDirector · (314) 308-9106
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
NPI 1760156913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
11763 BENHAM RD, Saint Louis, MO 63136

Other Names 1

Other NameSaint Louis

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
11763 BENHAM RD
SAINT LOUIS, MO 63136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Family Adult Daycare LLC's NPI number?

The NPI number for Northern Family Adult Daycare LLC is 1760156913. It was assigned to this organization in the NPPES registry on August 2, 2021. The provider is also known as Saint Louis.

Where is Northern Family Adult Daycare LLC located?

Northern Family Adult Daycare LLC is located at 11763 Benham Rd, Saint Louis, MO 63136. The listed phone number is (314) 308-9106.

What is Northern Family Adult Daycare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Northern Family Adult Daycare LLC was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.