Organization Active NPI

Circle of Life Divine Home Care Services, LLC

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1063135531
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.