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MANDISA FAYOLA MCCORMICK- NELSON ASSISTIVE CARE PRO
NPI 1356945000
Home Health in Saint Louis, MO

Active since November 24, 2020
1534 BEECHER DR, SAINT LOUIS, MO 63136(131) 422-9122 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2021, Nov 24, 2020 (2 updates tracked since 2020).

About Mandisa Fayola Mccormick- Nelson Assistive Care Pro NPPES

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

MANDISA FAYOLA MCCORMICK- NELSON ASSISTIVE CARE PRO (NPI 1356945000) is an individual home health provider in Saint Louis, Missouri and active in the NPI registry since November 2020. She maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1356945000
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameMANDISA FAYOLA MCCORMICK- NELSONCredential: ASSISTIVE CARE PRO
Location Address1534 BEECHER DRSaint Louis, MO 63136-2306
Mailing Address1534 Beecher DrSaint Louis, MO 63136-2306
Phone(131) 422-9122
Sole ProprietorYes
Enumeration DateNovember 24, 2020
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1356945000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
1534 BEECHER DR, Saint Louis, MO 63136
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Secondary Practice Location 1

Location 13329 California AveSaint Louis, MO 63118-3001 · Phone (131) 422-9122

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 Mandisa Mccormick- Nelson's NPI number?

The NPI number for Mandisa Mccormick- Nelson is 1356945000. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Mandisa Mccormick- Nelson located?

Mandisa Mccormick- Nelson practices at 1534 Beecher Dr, Saint Louis, MO 63136. The listed phone number is (131) 422-9122.

What is Mandisa Mccormick- Nelson's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Mandisa Mccormick- Nelson was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.