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NPI Code Detail

MEDICARE: HUMBLED HANDZ ADULT DAYCARE

MEDICARE: HUMBLED HANDZ ADULT DAYCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TA0700XAdult Development & Aging Psychologist
2302R00000XHealth Maintenance Organization
3311ZA0620XAdult Care Home Facility
4310400000XAssisted Living Facility
5261QA0600XAdult Day Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124866314
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUMBLED HANDZ ADULT DAYCARE
Provider Business Mailing Address
First Line : 32 PORTWEST CT
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-5985
Country : US
Telephone Number : 314-280-6366
Fax Number :
Provider Business Practice Location Address
First Line : 32 PORTWEST CT
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-5985
Country : US
Telephone Number : 314-280-6366
Fax Number :
Authorized Official
Title or Position : REGISTERED NUSE
Name : MRS. TANIKA ESTERS
Credential : RN,BSN
Telephone Number : 314-724-4354
Provider Enumeration Date : 07/19/2024
Last Update Date : 03/26/2026

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1376642256 — MRS. GAYLE P HORN
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Directions to “HUMBLED HANDZ ADULT DAYCARE ” Practice Location

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