# FULL CIRCLE HOMECARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114399821
- **Authorized official:** DAVANZO LAMANAS TATE (PRESIDENT)
- **Authorized official phone:** (330) 974-5415

## Contact information

- **Practice address:** 4495 MARKET ST STE 200, BOARDMAN, OH 44512
- **Practice address phone:** (330) 974-5415
- **Practice address fax:** (234) 719-1476
- **Mailing address:** 4495 MARKET ST STE 200, BOARDMAN, OH 44512-1573
- **Mailing address phone:** (330) 974-5415
- **Mailing address fax:** (234) 719-1476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2015
- **Last updated:** 02/19/2019