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FRIENDSHIP VILLAGE AT HOME, LLC
NPI 1609381045
Home Health in Saint Louis, MO

Active since December 07, 2017CLIA 26D1101100 · Waiver
12563 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127(314) 270-7333 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Friendship Village At Home, Llc NPPES

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

FRIENDSHIP VILLAGE AT HOME, LLC (NPI 1609381045) is a healthcare organization registered as a home health in Saint Louis, Missouri and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through June 18, 2027 and lists James Terry Walsh, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1609381045
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameFRIENDSHIP VILLAGE AT HOME, LLC
Location Address12563 VILLAGE CIRCLE DRSaint Louis, MO 63127-1758
Mailing Address12563 Village Circle DrSaint Louis, MO 63127-1758 · (314) 270-7333
Phone(314) 270-7333
Organization SubpartNo
Authorized OfficialJames Terry WalshChief Executive Officer · (314) 270-7150
Enumeration DateDecember 7, 2017
Last NPPES UpdateJanuary 5, 2018
✔ NPI 1609381045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
12563 VILLAGE CIRCLE DR, Saint Louis, MO 63127
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1101100

Fv At Home - Home Health LLC Dba Friendship Village Home Health · Chesterfield, MO
Active · expires Jun 18, 2027
CLIA Number26D1101100
Laboratory TypeHome Health Agency
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorMelinda Ward
Laboratory Phone(314) 270-7333
Laboratory LocationFv At Home - Home Health LLC Dba Friendship Village Home Health15201 Olive Blvd, Ste #345, Chesterfield, MO 63017
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

HANNAH SCHAEFER
Occupational Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7700
KATELYN CHELSEA HAYES
Occupational Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 842-6840
ABEGAIL SHEPARD COTAL
Occupational Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7700
SARAH ELIZABETH MITCHELL
Dietitian, Registered
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7164
AMY LYNN ALLEN
Occupational Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 730-3902
BREANNE BOHNERT
Physical Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7700
MRS. TORIE JADE TOCCO PTA
Physical Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7790
KATHERINE E IMMER
Physical Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7700

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 Friendship Village At Home, LLC's NPI number?

The NPI number for Friendship Village At Home, LLC is 1609381045. It was assigned to this organization in the NPPES registry on December 7, 2017.

Where is Friendship Village At Home, LLC located?

Friendship Village At Home, LLC is located at 12563 Village Circle Dr, Saint Louis, MO 63127. The listed phone number is (314) 270-7333.

What is Friendship Village At Home, LLC's specialty?

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

Does Friendship Village At Home, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1101100) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Friendship Village At Home, LLC was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.