FV at Home - Supportive Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FV AT HOME - SUPPORTIVE SERVICES, LLC

Practice address

12563 Village Circle Drive
St. Louis, MO 63127

Phone

(314) 270-7318

Fax

(314) 525-7500

NPI assigned

Dec 15, 2025

Organization subpart

No

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

Authorized official

Name

Sue Champion

Title

Director, Corporate Administration

Phone

(314) 270-7810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1225992092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12563 VILLAGE CIRCLE DRIVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631271758",
            "telephone_number": "314-270-7318",
            "fax_number": "314-525-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12563 VILLAGE CIRCLE DRIVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-270-7318",
            "fax_number": "314-525-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FV AT HOME - SUPPORTIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR, CORPORATE ADMINISTRATION",
        "authorized_official_telephone_number": "314-270-7810"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in St. Louis, MO
• Providers in St. Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.