FULL POTENTIAL RESIDENTIAL SERVICES, LLC
NPI 1730337114
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Saint Louis, MO

Active since August 28, 2008
8208 PAGE AVE, SAINT LOUIS, MO 63130(314) 839-9157(314) 839-9157 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Full Potential Residential Services, Llc NPPES

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

FULL POTENTIAL RESIDENTIAL SERVICES, LLC (NPI 1730337114) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Saint Louis, Missouri and active in the NPI registry since August 2008. The organization lists Demetra Evon Roberts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730337114
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameFULL POTENTIAL RESIDENTIAL SERVICES, LLC
Location Address8208 PAGE AVESaint Louis, MO 63130-1115
Mailing Address2335 Indiancup DrFlorissant, MO 63033-1736 · (314) 839-9157
Fax(314) 839-9157
Organization SubpartNo
Authorized OfficialDemetra Evon RobertsAdministrator · (314) 839-9157
Enumeration DateAugust 28, 2008
NPI 1730337114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in MO · 2006031224
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
8208 PAGE AVE, Saint Louis, MO 63130

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 Full Potential Residential Services, LLC's NPI number?

The NPI number for Full Potential Residential Services, LLC is 1730337114. It was assigned to this organization in the NPPES registry on August 28, 2008.

Where is Full Potential Residential Services, LLC located?

Full Potential Residential Services, LLC is located at 8208 Page Ave, Saint Louis, MO 63130. The listed phone number is (314) 839-9157.

What is Full Potential Residential Services, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Full Potential Residential Services, LLC was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.