Healthcare Provider Details

I. General information

NPI: 1447130448
Provider Name (Legal Business Name): DOROTHY JEAN COMPREHENSIVE NURSING COMMUNITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1293 KENNEBEC RD
CHESTERFIELD MO
63017-1929
US

IV. Provider business mailing address

1293 KENNEBEC RD
CHESTERFIELD MO
63017-1929
US

V. Phone/Fax

Practice location:
  • Phone: 314-437-4017
  • Fax:
Mailing address:
  • Phone: 314-437-4017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. JESSICA PATRICE MCNARY
Title or Position: CEO/OWNER
Credential:
Phone: 314-437-4017