OrganizationActive
Mardras Marvelous Mission I LLC
NPI 1053796219 · In Home Supportive Care Agency · Saint Louis, MO
Mardras Marvelous Mission I LLC is a In Home Supportive Care Agency organization in Saint Louis, MO (NPI 1053796219).
Provider details
- NPI number
- 1053796219
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shaunice Shelton, Executive Director(314) 659-9090
Specialties & taxonomies
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3830 Washington Blvd
Ste 109
Saint Louis, MO 63108-3460
Phone: (314) 659-9090
Fax: (314) 833-3170
Street-level locationGet directions
Mailing address
3830 Washington Blvd
Saint Louis, MO 63108-3460
Registry dates
- Enumerated
- 2015-07-29
- Last updated
- 2016-08-28
Frequently asked questions
- What is Mardras Marvelous Mission I LLC's NPI number?
- Mardras Marvelous Mission I LLC's National Provider Identifier (NPI) is 1053796219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mardras Marvelous Mission I LLC?
- Mardras Marvelous Mission I LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Mardras Marvelous Mission I LLC located?
- Mardras Marvelous Mission I LLC's practice location on file with NPPES is 3830 Washington Blvd, Saint Louis, MO 63108-3460.
- What is Mardras Marvelous Mission I LLC's phone number?
- The practice phone number listed in the NPPES registry for Mardras Marvelous Mission I LLC is (314) 659-9090.
- Who is the authorized official for Mardras Marvelous Mission I LLC?
- The authorized official listed on Mardras Marvelous Mission I LLC's NPPES record is Shaunice Shelton, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mardras Marvelous Mission I LLC's NPI active?
- Yes — Mardras Marvelous Mission I LLC's NPI (1053796219) is active in the NPPES registry as of the last update on 2016-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.