NPIMap

Organization Active NPI

Circle of Care, Inc.

  • In Home Supportive Care Agency
  • Loganville, GA
National Provider Identifier
1114395456
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
147R0246 Issued in GA
Legal business name
CIRCLE OF CARE, INC.
Practice address
4402 Lawrenceville Rd
Suite 203
Loganville, GA 30052-6781
Phone
(678) 615-2110
NPI assigned
Sep 3, 2015
Last updated
Sep 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Susan Drake
Title
President
Phone
(678) 615-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 147R0246 GA Primary

Addresses

Primary practice location

4402 Lawrenceville Rd
Suite 203
Loganville, GA 30052-6781

Mailing address

4402 Lawrenceville Rd
Suite 203
Loganville, GA 30052-6781
Phone (678) 615-2110

Other identifiers 1

IdentifierTypeStateIssuer
381973026AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Circle of Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4402 Lawrenceville Rd
Ste 203
Loganville, GA 30052
Phone (678) 615-2110

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1114395456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 LAWRENCEVILLE RD",
            "address_2": "SUITE 203",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526781",
            "telephone_number": "678-615-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 LAWRENCEVILLE RD",
            "address_2": "SUITE 203",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526781",
            "telephone_number": "678-615-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-615-2110"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "147R0246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381973026A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.