Fuller Care LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

FULLER CARE LLC

Practice address

1205 Seneca PL
Glenn Heights, TX 75154-8821

Phone

(972) 754-7681

NPI assigned

Sep 24, 2025

Organization subpart

No

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

Authorized official

Name

Gerad ChancellorNPI 1003787565

Title

Owner

Phone

(469) 337-3711

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerad Chancellor

  • Community Health Worker
  • Glenn Heights, TX
  • NPI 1003787565
  NPD Authorized official
• Chakara Chancellor

  • Community Health Worker
  • Glenn Heights, TX
  • NPI 1033080908
  NPD

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1306719679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 SENECA PL",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548821",
            "telephone_number": "972-754-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SENECA PL",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548821",
            "telephone_number": "972-754-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "CHANCELLOR",
        "authorized_official_first_name": "GERAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-337-3711"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Donehue
• Nekaya Duffey, LPC
• E & K Industries
• Elledge Counseling Associates
• Brenda Darlene Elledge, M.ED, L.P.C.-S
• Wanda Lavon Gates, NURSE
• Stephanie Julieth Gaytan, FNP-C
• Rachel M. Gibson, L.P.C.
• Rollins Gilmore, QMHP
• Nadia L. Golden, LCSW

• Community Health Worker in Glenn Heights, TX
• Providers in Glenn Heights, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.