OrganizationActive
Northern Family Adult Daycare LLC
NPI 1760156913 · Adult Day Care Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1760156913
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Northern, Director(314) 308-9106
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11763 Benham Rd
Saint Louis, MO 63136-6113
Phone: (314) 308-9106
Street-level locationGet directions
Mailing address
11763 Benham Rd
Saint Louis, MO 63136-6113
Other names (DBA / former)
- Other name
- Saint Louis
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2021-08-02
- Certified
- 2021-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.