FULL CIRCLE HOME HEALTH CARE AGENCY, LLC (NPI# 1376088518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376088518 |
| Entity Type | Organization |
| Organization Name | FULL CIRCLE HOME HEALTH CARE AGENCY, LLC |
| Practice Address |
405 Highland Ave Burr Oak MI 49030-9405 |
| Mailing Address |
Po Box 22 Burr Oak MI 49030-0022 |
| Practice Telephone | 2692748212 |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-26 |
| Authorized Official Name | STEPHENIE NELSON (OWNER/ ADMINISTRATOR) |
| Authorized Official Telephone | 2692748212 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
405 HIGHLAND AVE |
| City | BURR OAK |
| State | MI |
| Zip Code | 49030-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787773 | Raul Morales | Pharmacist | 60524 Shoreline Dr, Burr Oak, MI 49030-9691 | 2020-07-15 |
| 1881226876 | Wendy Pappas | Licensed Practical Nurse | 67567 Spaid Rd, Burr Oak, MI 49030-9788 | 2020-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787773 | Raul Morales | Pharmacist | 60524 Shoreline Dr, Burr Oak, MI 49030-9691 | 2020-07-15 |
| 1881226876 | Wendy Pappas | Licensed Practical Nurse | 67567 Spaid Rd, Burr Oak, MI 49030-9788 | 2020-02-07 |
| 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 |
|---|---|---|---|---|
| 1972104818 | Work By Faith Home Care LLC | In Home Supportive Care | 708 Van Buren St W, Battle Creek, MI 49037-2218 | 2020-11-06 |
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1891396115 | Tender Care Homecare Services | In Home Supportive Care | 25331 Lois Ln, Southfield, MI 48075-1040 | 2020-11-03 |
| 1851991699 | Cacck Enterprise Inc | In Home Supportive Care | 15851 S Us 27 Ste 314, Lansing, MI 48906-1987 | 2020-10-30 |
| 1194322628 | Albacare LLC | In Home Supportive Care | 2755 Pall Mall Dr, Sterling Heights, MI 48310-5808 | 2020-10-07 |
| 1821604315 | Essential Reliable Care LLC | In Home Supportive Care | 513 Cherry Orchard Rd, Canton, MI 48188-5272 | 2020-09-20 |
| 1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
| 1174138754 | Aliah Sanusi | In Home Supportive Care | 25900 Greenfield Rd Ste 503, Oak Park, MI 48237-1893 | 2020-09-10 |
| 1407461353 | Paradise Home Care LLC | In Home Supportive Care | 5315 Discovery Dr Se, Kentwood, MI 49508-6656 | 2020-09-08 |
| 1437763406 | Kelechi Akubukwe | In Home Supportive Care | 48164 Royal Pointe Dr, Canton, MI 48187-5466 | 2020-09-07 |
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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.