Healthcare Provider Details

I. General information

NPI: 1447333455
Provider Name (Legal Business Name): FULL CIRCLE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2349 JAMESTOWN AVE STE 1
INDEPENDENCE IA
50644-9709
US

IV. Provider business mailing address

2349 JAMESTOWN AVE STE 1
INDEPENDENCE IA
50644-9709
US

V. Phone/Fax

Practice location:
  • Phone: 319-334-4341
  • Fax: 319-334-4314
Mailing address:
  • Phone: 319-334-4341
  • Fax: 319-334-4314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateIA

VIII. Authorized Official

Name: MRS. NINA L BRICKMAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 319-334-4341