NPIMap

Organization Active NPI

Circle Health Services

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
National Provider Identifier
1013740737
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CIRCLE HEALTH SERVICES
Practice address
11401 Lorain Ave Ste 201
Cleveland, OH 44111-5428
Phone
(216) 416-4277
NPI assigned
Aug 20, 2024
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Christine Gambatese, CPA
Title
Chief Financial Officer
Phone
(440) 667-9805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

11401 Lorain Ave Ste 201
Cleveland, OH 44111-5428

Mailing address

11401 Lorain Ave
Cleveland, OH 44111-5428
Phone (216) 416-4277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620001222 OH Part A Provider - Federally Qualified Health Center (FQHC) 7517102478 Practice locations: Cleveland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013740737. Details of each certification follow.

Federally qualified health center certification: CCN D21089

Legal name
CIRCLE HEALTH SERVICES
Doing business as
OCHIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 20, 2025
Last certification
Jun 20, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 7, 1970 in OH
Enrollment address
11401 Lorain Ave
Ste 201
Cleveland, OH 44111-5428

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2310626Circle Health Services11401 Lorain Avenue, Cleveland, OH 44111Certificate of waiverSep 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Circle Health Services36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

11401 Lorain Ave
Ste 201
Cleveland, OH 44111

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brinton Lincoln Individual Corporate OfficerBoard Chair Nov 1, 2017 5%
Pamela Lerose Individual Corporate DirectorBoard Member Nov 18, 2022 5%
Kamaal Shakkour Individual Corporate DirectorBoard Member Feb 25, 2022 5%
Venyce Sanders Individual Corporate OfficerTreasurer Jan 27, 2023 5%
Susan Yarborough Individual Corporate DirectorBoard Member Oct 28, 2022 5%
Manuela Serrat Individual Corporate DirectorBoard Member Oct 28, 2022 5%
Daniel S Blain Individual Corporate DirectorBoard Member Nov 1, 2017 5%
Bradley Ouambo Individual Corporate DirectorBoard Member Oct 28, 2022 5%
Camille Billups Individual Corporate DirectorBoard Member Nov 16, 2017 5%
James Crane Individual Corporate DirectorBoard Member May 23, 2023 5%
Eric Morse Individual Corporate OfficerCeo Apr 1, 2020
W-2 Managing EmployeeCeo Apr 1, 2020
Christine Gambatese Individual Corporate OfficerChief Finance Officer Feb 1, 2022 5%
Lisa Goods Individual Corporate DirectorBoard Member Nov 18, 2022 5%
Marla Fleischer Individual Corporate DirectorBoard Member Nov 16, 2017 5%
Tatiana Wells Individual Corporate DirectorBoard Member Jun 14, 2022 5%
Robert Faxon Individual Corporate DirectorBoard Member May 23, 2023 5%
Angela Beasley-Fielding Individual Corporate OfficerVice Chair Oct 26, 2018 5%
David H. Gunning Individual Corporate DirectorBoard Member Jun 14, 2022 5%
Tracey N Mason Individual Corporate DirectorBoard Member Nov 18, 2022 5%
Circle Health Services Organization, Cleveland, OH Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2017 5%
Lisa Forbes Individual Corporate DirectorBoard Member Nov 1, 2017 5%
Seth M Wolf Individual Corporate OfficerSecretary Nov 1, 2017 5%
Moses Jhirad Individual Corporate DirectorBoard Member Jun 14, 2022 5%
Stephen McHale Individual Corporate DirectorBoard Member Nov 1, 2017 5%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health and Wellness EastCleveland, OH, CCN 361163 Federally qualified health center Operational/Managerial Control (100%) Nov 1, 2017
Health and Wellness SouthwestParma, OH, CCN 361173 Federally qualified health center Operational/Managerial Control (5%) Nov 1, 2017
Health and Wellness Gordon SquareCleveland, OH, CCN 361172 Federally qualified health center Operational/Managerial Control (5%) Jan 1, 2018
Health and Wellness WestCleveland, OH, CCN 361182 Federally qualified health center Operational/Managerial Control (5%) Nov 1, 2017

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1013740737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115428",
            "telephone_number": "216-416-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 LORAIN AVE STE 201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115428",
            "telephone_number": "216-416-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "GAMBATESE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "440-667-9805",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.