Provider Demographics
NPI:1982573507
Name:DOROTHY JEAN COMPREHENSIVE NURSING COMMUNITY, LLC
Entity type:Organization
Organization Name:DOROTHY JEAN COMPREHENSIVE NURSING COMMUNITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:MCNARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-326-7441
Mailing Address - Street 1:1293 KENNEBEC RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-1929
Mailing Address - Country:US
Mailing Address - Phone:314-237-7210
Mailing Address - Fax:314-237-7280
Practice Address - Street 1:500 AIRPORT RD STE 3
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-1931
Practice Address - Country:US
Practice Address - Phone:314-237-7210
Practice Address - Fax:314-237-7208
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOROTHY JEAN COMPREHENSIVE NURSING COMMUNITY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty