PELICAN VALLEY SERVICES LLC (NPI# 1336796200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336796200 |
| Entity Type | Organization |
| Organization Name | PELICAN VALLEY SERVICES LLC |
| Practice Address |
2632 Breckenridge Cir O Fallon MO 63368-6669 |
| Practice Telephone | 6364666539 |
| Mailing Telephone | 6364666539 |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2019-08-24 |
| Authorized Official Name | ASHLEY N NELSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6364666539 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
2632 BRECKENRIDGE CIR |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-6669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497214118 | Ashley N Nelson | Case Manager/Care Coordinator | 2632 Breckenridge Cir, O Fallon, MO 63368-6669 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033671417 | 1 Call Away In-home LLC | In Home Supportive Care | 808 Love Dr, O Fallon, MO 63366-1739 | 2019-04-03 |
| 1447730908 | Heart To Heart Homecare | In Home Supportive Care | 450 Ponderosa Ave, O Fallon, IL 62269-2513 | 2018-08-15 |
| 1407399009 | Most Gentle Care, LLC | In Home Supportive Care | 123 Brushy Brook Dr, O Fallon, MO 63366-4973 | 2016-11-30 |
| 1568904233 | Supreme Health Care LLC | In Home Supportive Care | 161 Boardwalk Gardens Dr, O Fallon, MO 63368-3915 | 2016-11-12 |
| 1356687826 | Westplex Home Care | In Home Supportive Care | 202 Triad Ctr W, O Fallon, MO 63366-7543 | 2013-01-02 |
| 1720345796 | Above All Home Care | In Home Supportive Care | 2141 Bryan Valley Commercial Dr, O Fallon, MO 63366-3496 | 2012-04-16 |
| 1912276288 | Angels On Duty | In Home Supportive Care | 115 Civic Park Dr, O Fallon, MO 63366-1664 | 2011-12-15 |
| 1487952875 | Abundant Care In Home Services, LLC | In Home Supportive Care | 545 Sunshine Brook Dr, O Fallon, MO 63366-4964 | 2011-03-09 |
| 1558815894 | Sacred Heart Consumer Directed Services | In Home Supportive Care | 2013 Homefield Ridge Dr, O Fallon, MO 63366-4752 | 2016-08-03 |
| 1235575796 | Westplex Home Care Enterprises, LLC | In Home Supportive Care | 202 Triad Ctr W, O Fallon, MO 63366-7543 | 2013-05-10 |
| Find all providers in O FALLON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.