MARDRAS MARVELOUS MISSION I LLC
NPI 1053796219
In Home Supportive Care in Saint Louis, MO

Q: What is Mardras Marvelous Mission I LLC's NPI number?

The NPI number for Mardras Marvelous Mission I LLC is 1053796219. It was assigned to this organization in the NPPES registry on July 29, 2015.

Q: What is Mardras Marvelous Mission I LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since July 29, 2015

3830 WASHINGTON BLVD, STE 109, SAINT LOUIS, MO 63108(314) 659-9090(314) 833-3170 Get Directions Write a Review

NPPES record last updated: August 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mardras Marvelous Mission I Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARDRAS MARVELOUS MISSION I LLC (NPI 1053796219) is a healthcare organization registered as an in home supportive care in Saint Louis, Missouri and active in the NPI registry since July 2015. The organization lists Shaunice Shelton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053796219

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameMARDRAS MARVELOUS MISSION I LLC

Location Address3830 WASHINGTON BLVD, STE 109Saint Louis, MO 63108-3460

Mailing Address3830 Washington Blvd, Ste 109Saint Louis, MO 63108-3460 · (636) 465-3004 · Fax (314) 833-3170

Phone(314) 659-9090

Fax(314) 833-3170

Organization SubpartNo

Authorized OfficialShaunice SheltonExecutive Director · (314) 659-9090

Enumeration DateJuly 29, 2015

Last NPPES UpdateAugust 28, 2016

✔ NPI 1053796219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

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.

3830 WASHINGTON BLVD, Saint Louis, MO 63108

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Other Identifiers 1

MedicaidDHSSMO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUGGING ARMS LLC

In Home Supportive Care

3830 WASHINGTON BLVD
SAINT LOUIS, MO 63108

St. Louis City (800) 665-2571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mardras Marvelous Mission I LLC's NPI number?

The NPI number for Mardras Marvelous Mission I LLC is 1053796219. It was assigned to this organization in the NPPES registry on July 29, 2015.

Where is Mardras Marvelous Mission I LLC located?

Mardras Marvelous Mission I LLC is located at 3830 Washington Blvd Ste 109, Saint Louis, MO 63108. The listed phone number is (314) 659-9090.

What is Mardras Marvelous Mission I LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Mardras Marvelous Mission I LLC was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.