Shanell Jacobs

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

100 Chesterfield Business Pkwy Ste 200
Chesterfield, MO 63005-1271

Phone

(410) 487-4300

NPI assigned

May 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Full Circle Home Care Missouri, LLC

  • In Home Supportive Care Agency
  • Chesterfield, MO
  • NPI 1780162974
  NPD Authorized official
• Full Circle Home Care, LLC

  dba Full Circle Youth & Family Center

  • Community/Behavioral Health Agency
  • Crofton, MD
  • NPI 1649983495
  NPD Authorized official
• Full Circle Home Care, LLC

  dba Full Circle Youth & Family Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crofton, MD
  • NPI 1902519697
  NPD Authorized official

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1275023152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 ESPEY CT STE 2",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142474",
            "telephone_number": "410-487-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "410-487-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "SHANELL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Ronald Anderssen (Anderssen Mobile X-Ray Service)
• Meghan Jackson, OT
• Sarah Ruth Jackson, DNP
• Taylor Jackson, LCSW
• Daryl L Jacobs, MD
• Jacques a. Herzog, M.D., Inc. (The Center For Hearing And Balance Disorders)
• Howard Jaffe, DPM
• Israt Jahan
• Sunira Jain, RPH
• Unknown Jaiprada, MD

• In Home Supportive Care Agency in Chesterfield, MO
• Providers in Chesterfield, 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 Feb 1, 2022; 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.