Healthcare Provider Details

I. General information

NPI: 1154285302
Provider Name (Legal Business Name): ACORP ADULT DAY PROGRAM CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6936 GREENWAY AVE
SAINT LOUIS MO
63121-5129
US

IV. Provider business mailing address

9832 MILL PASS LN
SAINT LOUIS MO
63134-4118
US

V. Phone/Fax

Practice location:
  • Phone: 314-650-9615
  • Fax:
Mailing address:
  • Phone: 314-650-9615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: TINIKA MONRO
Title or Position: DIRECTOR
Credential:
Phone: 314-650-9615