Active NPI
Circle of Life Divine Home Care Services, LLC
- In Home Supportive Care Agency
- Greenville, SC
National Provider Identifier
1063135531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CIRCLE OF LIFE DIVINE HOME CARE SERVICES, LLC
- Practice address
- 1200 Woodruff Rd a-3 Suite 138
Greenville, SC 29607-5730 - Phone
- (864) 395-6220
- NPI assigned
- Sep 20, 2022
- Last updated
- Sep 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryant Briggs
- Title
- Ceo
- Phone
- (864) 395-6220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1200 Woodruff Rd a-3 Suite 138
Greenville, SC 29607-5730
Mailing address
1200 Woodruff Rd a-3 Suite 138
Greenville, SC 29607-5730
Phone (864) 395-6220
National Provider Directory
National Provider DirectoryLocations
1200 Woodruff Rd
Ste 138
Greenville, SC 29607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726099200000",
"number": "1063135531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 WOODRUFF RD A-3 SUITE 138",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075730",
"telephone_number": "864-395-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WOODRUFF RD A-3 SUITE 138",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075730",
"telephone_number": "864-395-6220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE OF LIFE DIVINE HOME CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-20",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A",
"authorized_official_last_name": "BRIGGS",
"authorized_official_first_name": "BRYANT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "864-395-6220",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.