Pelican Valley Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PELICAN VALLEY SERVICES LLC

Practice address

2632 Breckenridge Cir
O Fallon, MO 63368-6669

Phone

(636) 466-6539

NPI assigned

Aug 24, 2019

Organization subpart

No

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

Authorized official

Name

Ashley N NelsonNPI 1497214118

Title

Executive Director

Phone

(636) 466-6539

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ashley N Nelson

  • Case Manager/Care Coordinator
  • O Fallon, MO
  • NPI 1497214118
  NPD (past) Authorized official

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566604800000",
    "number": "1336796200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 BRECKENRIDGE CIR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686669",
            "telephone_number": "636-466-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 BRECKENRIDGE CIR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686669",
            "telephone_number": "636-466-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN VALLEY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-466-6539"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jonathan Pawloski
• Maggie Mae Pawlowski, PT, DPT
• Paws and Play Counseling LLC
• Lori Payne
• Richi Michelle Peer, CCC-SLP
• Lara Ann Penn, FNP
• Enmanuel Jose Perez, MD
• Julia Perine, M.A., CCC-SLP
• William G Peroutka Jr., M.P.T., A.T.C.
• Lindsey Perrey

• In Home Supportive Care Agency in O Fallon, MO
• Providers in O Fallon, 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 Aug 24, 2019; 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.