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Supra Seniors LLC

Adult Day Care Clinic/Center in Webster Groves, MO · enumerated 2007 · authorized official Davis Allen, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326241803

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Registry record

Entity type Organization (Type 2)
Legal business name Supra Seniors LLC
Other name <Unavail>
Practice address 524 S Elm Ave, Webster Groves, MO, 63119
Fax (314) 968-2224
Enumeration date Jun 11, 2007
Last updated in NPPES Jul 25, 2008

Taxonomy & classification

261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities · License 685 (MO) Secondary
261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Davis Allen
Title Executive Director

Other identifiers

Identifier Type State Issuer
685 Medicaid MO -
296305709 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-25. Verify at npiregistry.cms.hhs.gov.
Where is Supra Seniors LLC located?
The practice location on file with NPPES is in Webster Groves, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-25.