MEDICARE: JEWISH COMMUNITY CENTER

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
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1265386916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEWISH COMMUNITY CENTER

Provider Business Mailing Address
First Line	:	2 MILLSTONE CAMPUS DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-5776
Country	:	US
Telephone Number	:	314-442-3123
Fax Number	:	314-442-3440

Provider Business Practice Location Address
First Line	:	16801 BAXTER RD
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1668
Country	:	US
Telephone Number	:	314-442-3123
Fax Number	:	314-442-3440

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	NICOLE L HAWKINS
Credential	:
Telephone Number	:	314-442-3148

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “JEWISH COMMUNITY CENTER ” Practice Location

Language	Start Address	Practice Location

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