MEDICARE: FOUNDATION CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336S0011X	Specialty Pharmacy

General Provider Information

NPI Number	:	1487298881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATION CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 955362
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-5362
Country	:	US
Telephone Number	:	855-422-2742
Fax Number	:	866-834-8523

Provider Business Practice Location Address
First Line	:	111 CHESTERFIELD INDUSTRIAL BLVD STE 115
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1219
Country	:	US
Telephone Number	:	877-291-1122
Fax Number	:	877-291-1155

Authorized Official
Title or Position	:	PRESIDENT, DIRECTOR
Name	:	JESSICA DAWN CICCOLELLA-KAHL
Credential	:
Telephone Number	:	800-511-5144

Provider Enumeration Date	:	10/30/2019
Last Update Date	:	05/22/2024

Similar Medicare Providers

1407719073 — AMANDA ODENWALD PHARMD
Practice Location Address:

111 CHESTERFIELD INDUSTRIAL BLVD STE 115
CHESTERFIELD, MO
63005-1219

Practice Phone: 314-410-2700
Practice Fax:

1205831963 — FOUNDATION CARE LLC
Practice Location Address:

111 CHESTERFIELD INDUSTRIAL BLVD STE 115
CHESTERFIELD, MO
63005-1219

Practice Phone: 877-291-1122
Practice Fax: 877-291-1155

1740143668 — SYDNIE HOYT
Practice Location Address:

16629 WILD HORSE CREEK RD
CHESTERFIELD, MO
63005-1627

Practice Phone: 636-777-8101
Practice Fax:

1639828668 — KELSIE MARIE WALKER PT
Practice Location Address:

121 CHESTERFIELD TOWNE CTR
CHESTERFIELD, MO
63005-1230

Practice Phone: 636-730-1601
Practice Fax:

1225990419 — SUCCESS VISION EYECARE OF CHESTERFIELD LLC
Practice Location Address:

2 THF BLVD
CHESTERFIELD, MO
63005-1150

Practice Phone: 314-934-2020
Practice Fax: 314-806-2020

1710840723 — NATIONAL MEDICAL BILLING SERVICES, LLC
Practice Location Address:

7 ARNAGE DR
CHESTERFIELD, MO
63005-1357

Practice Phone: 877-276-6997
Practice Fax:

Directions to “FOUNDATION CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.