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Full Potential Residential Services, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, MO · enumerated 2008 · authorized official Demetra Roberts, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730337114

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Registry record

Entity type Organization (Type 2)
Legal business name Full Potential Residential Services, LLC
Practice address 8208 Page Ave, Saint Louis, MO, 63130
Fax (314) 839-9157
Enumeration date Aug 28, 2008
Last updated in NPPES Aug 28, 2008

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 2006031224 (MO) Primary

Authorized official

Name Demetra Roberts
Title Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Full Potential Residential Services, LLC?
The NPI for Full Potential Residential Services, LLC is 1730337114, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Full Potential Residential Services, LLC?
NPPES lists Demetra Roberts (Administrator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-28.