Active NPI
Hospice Circle of Love Association
- Community Based Hospice Care Agency
- Enid, OK
National Provider Identifier
1114904182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 4014
- Legal business name
- HOSPICE CIRCLE OF LOVE ASSOCIATION
- Practice address
- 314 S 3Rd St
Enid, OK 73701-5736 - Phone
- (580) 234-2273
- Fax
- (580) 234-1990
- NPI assigned
- Dec 29, 2005
- 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. Chad D Caldwell
- Title
- Executive Director
- Phone
- (580) 234-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 4014 | OK | Primary |
Addresses
Primary practice location
314 S 3Rd St
Enid, OK 73701-5736
Mailing address
314 S 3Rd St
Enid, OK 73701-5736
Phone (580) 234-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4014 | Other | OK | OK STATE HOSPICE LICENSE |
Other names 1
- Hospice Circle of Love
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090629000120 | OK | Part A Provider - Hospice | 1557412798 | Practice locations: Enid, OK |
Hospice certification: CCN 371501
- Legal name
- HOSPICE CIRCLE OF LOVE ASSOCIATION
- Doing business as
- HOSPICE CIRCLE OF LOVE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 8, 1986
- Last certification
- Apr 6, 2021
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation
- Incorporated
- Jul 19, 1990 in OK
- Enrollment address
- 314 South 3Rd St
Enid, OK 73701-5736
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice Circle of Love
- Ownership
- Non-Profit
- Certified
- Apr 8, 1986
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0884161 | Hospice Circle of Love | Certificate of waiver | Mar 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
314 S 3rd St
Enid, OK 73701
Phone (580) 234-2273
105 N Main St
Fairview, OK 73737
Phone (580) 227-2114
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Chad Caldwell | Corporate Director | Jun 24, 2009 | |
| W-2 Managing Employee | Jun 24, 2009 |
Practitioners & affiliated clinicians
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245974400000",
"number": "1114904182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 S 3RD ST",
"city": "ENID",
"state": "OK",
"postal_code": "737015736",
"telephone_number": "580-234-2273",
"fax_number": "580-234-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S 3RD ST",
"city": "ENID",
"state": "OK",
"postal_code": "737015736",
"telephone_number": "580-234-2273",
"fax_number": "580-234-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE CIRCLE OF LOVE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-29",
"last_updated": "2009-06-26",
"status": "A",
"authorized_official_last_name": "CALDWELL",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "580-234-2273",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "OK",
"license": "4014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK STATE HOSPICE LICENSE",
"identifier": "4014",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Circle of Love",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.