NPIMap

Organization Active NPI

Full Circle Home Care Missouri, LLC

  • In Home Supportive Care Agency
  • Chesterfield, MO
National Provider Identifier
1780162974
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FULL CIRCLE HOME CARE MISSOURI, LLC
Practice address
100 Chesterfield Business Pkwy Ste 200
Chesterfield, MO 63005-1271
Phone
(314) 764-4300
NPI assigned
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Mrs. Shanell JacobsNPI 1275023152
Title
Owner
Phone
(314) 764-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

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

Mailing address

100 Chesterfield Business Pkwy Ste 200
Chesterfield, MO 63005-1271
Phone (314) 764-4300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1780162974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "314-764-4300"
        },
        {
            "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": "314-764-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE HOME CARE MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-764-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.