Healthcare Provider Details

I. General information

NPI: 1932845971
Provider Name (Legal Business Name): FULL CIRCLE HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717-542-4672 4860 COX ROAD SUITE 217
RICHMOND VA
23238
US

IV. Provider business mailing address

1507 LOTHBURY LN
RICHMOND VA
23238-4022
US

V. Phone/Fax

Practice location:
  • Phone: 717-542-4672
  • Fax: 717-542-4672
Mailing address:
  • Phone: 717-542-4672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NICHELLE ANGELA WILLIAMS
Title or Position: OWNER
Credential: LNHA
Phone: 717-542-4672