FULL CIRCLE HOMECARE, LLC (NPI# 1114399821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114399821 |
| Entity Type | Organization |
| Organization Name | FULL CIRCLE HOMECARE, LLC |
| Practice Address |
4495 Market St Ste 200 Boardman OH 44512 |
| Mailing Address |
4495 Market St Ste 200 Boardman OH 44512-1573 |
| Practice Telephone | 3309745415 |
| Practice Fax Number | 2347191476 |
| Mailing Telephone | 3309745415 |
| Mailing Fax Number | 2347191476 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2019-02-19 |
| Authorized Official Name | DAVANZO LAMANAS TATE (PRESIDENT) |
| Authorized Official Telephone | 3309745415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0135706 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4495 Market St Ste 200, Boardman, OH 44512 | 3309745415 | 2347191476 |
| Street Address |
4495 MARKET ST STE 200 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477026490 | Rebecca Eskay | Home Health | 143 Boardman Canfield Rd Ste 196, Boardman, OH 44512-4804 | 2019-01-03 |
| 1346643673 | Sateri Home Inc. & Subsidiaries | Home Health | 102 Boardman Canfield Rd, Boardman, OH 44512-4803 | 2014-10-01 |
| 1811216385 | At Home Nursing | Home Health | 828 Mayfield Dr, Boardman, OH 44512-6460 | 2010-05-24 |
| 1760639611 | Maxim Home Health Resources, LLC | Home Health | 4927 Market St, Suite 6, Boardman, OH 44512-2146 | 2008-08-22 |
| 1538316401 | Community Caregivers of Mahoning County LLC | Home Health | 888 Boardman Canfield Rd Ste G, Boardman, OH 44512-4277 | 2008-08-22 |
| 1306057195 | Wish U Well | Home Health | 7536 Market St, Suite 204, Boardman, OH 44512 | 2007-05-24 |
| 1235142001 | Sacred Arms, Inc. | Home Health | 8600 Glenwood Ave Ste 140, Boardman, OH 44512-6565 | 2006-08-14 |
| 1770504615 | Family Nurse Care of Ohio, LLC | Home Health | 7206 Market St., Ste. C, Boardman, OH 44512-4562 | 2006-07-23 |
| 1952627051 | Home Care Alternatives, Inc. | Home Health | 755 Boardman Canfield Rd, Bldg F Suite 1, Boardman, OH 44512-4300 | 2010-04-14 |
| 1487692943 | Valley Home Health Care, LLC | Home Health | 755 Boardman Canfield Rd, Boardman, OH 44512-4300 | 2006-06-04 |
| Find all providers in BOARDMAN | ||||
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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.