Healthcare Provider Details

I. General information

NPI: 1649082140
Provider Name (Legal Business Name): LOVE & TENDERNESS ADULT DAY PROGRAM LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10018 W FLORISSANT AVE
SAINT LOUIS MO
63136-2102
US

IV. Provider business mailing address

4517 FAIR AVE FL 2
SAINT LOUIS MO
63115-3054
US

V. Phone/Fax

Practice location:
  • Phone: 636-541-1048
  • Fax: 726-262-0013
Mailing address:
  • Phone: 314-392-1266
  • Fax: 726-262-0013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: LINDA SUZETTE JAMES
Title or Position: OWNER
Credential:
Phone: 314-392-1266