Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mandisa Fayola McCormick- Nelson, ASSISTIVECAREPRO

Individual provider Attendant Care Provider · NPI 1356945000

Mandisa Fayola McCormick- Nelson, ASSISTIVECAREPRO is an Attendant Care Provider in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1534 Beecher Dr
Saint Louis, MO 63136-2306
Phone: (131) 422-9122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3329 California Ave, Saint Louis, MO 63118-3001 — (131) 422-9122

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X (MO)
Attendant Care Provider Taxonomy 3747A0650X

Record details

NPI number1356945000
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASSISTIVECAREPRO
Sole proprietorYes
NPI enumeratedNovember 24, 2020
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

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