Circles of Love Bible Church

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

CIRCLES OF LOVE BIBLE CHURCH

Practice address

6197 Lehman Dr
Colorado Springs, CO 80918-3437

Phone

(719) 291-0296

NPI assigned

May 5, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dwan Gant, MBA

Title

Ceo

Phone

(719) 291-0296

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• United Providers Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1013363431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1818",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809011818",
            "telephone_number": "719-291-0296",
            "fax_number": "844-272-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6197 LEHMAN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183437",
            "telephone_number": "719-291-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 N Parkside Dr",
            "address_2": "Suite 201M",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809096097",
            "country_code": "US",
            "telephone_number": "719-291-0296",
            "fax_number": "844-272-3465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CIRCLES OF LOVE BIBLE CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "DWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-291-0296",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73704253",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Providers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbey Cira
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• Melissa Lynn Cirillo, M.D.
• Damian Cisneros
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• Child Intellectual and/or Developmental Disabilities Respite Care in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.