Full Circle Respite Cooperative

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

FULL CIRCLE RESPITE COOPERATIVE

Doing business as

Full Circle Respite

Practice address

647 E Ontario St
Omro, WI 54963-1454

Phone

(920) 379-1079

NPI assigned

Aug 10, 2026

Last updated

Aug 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gracie Hayes

Title

Director of Billing

Phone

(920) 379-1079

Specialties & licenses 1

Addresses

Other names 1

• Full Circle Respite Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1063337087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 E ONTARIO ST",
            "city": "OMRO",
            "state": "WI",
            "postal_code": "549631454",
            "telephone_number": "920-379-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 E ONTARIO ST",
            "city": "OMRO",
            "state": "WI",
            "postal_code": "549631454",
            "telephone_number": "920-379-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE RESPITE COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "GRACIE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "920-379-1079"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Respite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany N Doucette, D.C.
• Dowling Dental Clinic of Omro, Inc.
• Thomas Dowling, DDS
• Edwin F Davis DC LLC (Gentle Touch Chiropractic)
• Cali Felix, PHARM D
• Brandon Grover, OTR/L
• Jenna Nicole Hanson
• Tracy L Hogan, RN
• Susan M Hurlbut, NP
• Robert Ihssen, M.S, CCC-SLP

• Case Manager/Care Coordinator in Omro, WI
• Providers in Omro, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.